Genetics Clinic Appointment Request

Request an Appointment with Illinois CancerCare Genetics

You can request an appointment by completing the “Set Up Your Appointment” form on our homepage.

Completing the Genetics Testing Interest form at the bottom of this page assists our team in initiating the testing process with you. Once we have received your interest form, our New Patient Intake Scheduling team will:

Review your submission
Verify your insurance information
Route your referral to the appropriate genetics team

If genetics services are a good fit for your needs, someone from our team will contact you to explain next steps, review any paperwork, and help schedule your appointment.

Please note:

Completing the online form does not schedule an appointment. Our team will follow up with you directly.

Request an Appointment Here

Referral Review Timeline

Referral requests are typically reviewed within one week. If you have not heard from our team after that time, please contact the Genetics Clinic.

Questions or Follow‑Up?

If you have already submitted a referral request or have questions about the process, please contact the Genetics Clinic at 309‑243‑3367.

Genetics Testing Interest Form

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Name*

First Last

Email*

Phone*

Date of Birth*

Date of Birth is required to verify insurance information.

Insurance Company

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Have you ever been diagnosed with cancer?*

Yes

If yes, please list type of cancer and age of diagnosis:*

Has a family member ever been diagnosed with cancer?*

Yes

If yes, please list type of cancer and relation:*