For Referring Physicians
We understand that referring physicians entrust Northwestern Memorial Hospital with the care of their patients. Our movement disorders team believes that patients are best served by having seamless and continuous communication between the movement disorders center and their referring physicians. We look forward to partnering with you in offering your patients the most advanced and comprehensive care in the region, along with the Best Patient Experience.
To refer your patient to the Parkinson's Disease and Movement Disorders Center, please download the rapid referral form (pdf). This file contains a brief demographic page about the patient as well as the Florida Surgical Questionnaire for Parkinson Disease. Please include the materials requested on the form as well as the following information:
- Recent office notes
- The patient's current medication regimen
- Recent imaging reports
- Any specific questions, concerns or requests
- Complete the form and fax to: 312-695-2256
Contact
Parkinson's Disease and Movement Disorders Center
675 North St. Clair Street, Suite 20-100
Chicago, IL 60611-2923
For an appointment with a movement disorders specialist call:
Neurology 312-695-7950 FAX: 312-695-2256
Neurosurgery 312-695-8143 FAX: 312-695-4075
For educational materials, support groups and program information call:
312-503-4397


