Request for Care

At JourneyCare, we are committed to providing care and support for our patients and families when they need us most. We encourage you to contact our team via phone for immediate assistance — 24 hours a day, seven days a week, at 224-770-2489. Or you may complete this brief form so the appropriate JourneyCare team member can follow up with you as soon as possible.

Patient's Name*
First Last
Location of Residence*
Diagnosis*
Service(s) Requested*
Primary Care Doctor (if available)
First Last
Your Name
First Last
Relationship to Patient
Phone*
Email
Phone
This field is for validation purposes and should be left unchanged.

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Career Opportunities

UPCOMING EVENTS

20
Jul

New Volunteer Orientation – Lombard – July 20

Saturday, July 20 JourneyCare Administrative Office 1 East 22nd Street, Lombard Our 6-hour Volunteer ... MORE>>

22
Jul

New Volunteer Orientation – Chicago – July 22

Monday, July 22 JourneyCare Administrative Office 549 West Randolph Street, Suite 100, Chicago Our 6-hour ... MORE>>

10
Aug

New Volunteer Orientation – DeKalb – August 10

Saturday, August 10 JourneyCare Administrative Office 2727 Sycramore Rd, Suite 1B DeKalb, IL 60115 Our ... MORE>>

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