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Medical Forms | HFS - Illinois

    https://www2.illinois.gov/hfs/info/Brochures%20and%20Forms/Pages/medicalforms.aspx
    Mail-in Application for Medical Benefits HFS 2378H (pdf) Mail-in Application for Medical Benefits HFS 2378HS (Spanish) (pdf) Designating Someone to Help You. Approved Representative Consent Form IL 444-2998 (pdf) Approved Representative Consent Form …

CONSENT FOR ORDINARY AND ROUTINE …

    https://www2.illinois.gov/dcfs/aboutus/notices/Documents/CFS_415_Consent_for_Ordinary_and_Routine_Medical_and_Dental_Care_%28Fillable%29.pdf
    Consent for medical or dental treatments that are not classified as ordinary and routine can be obtained during business hours (Monday through Friday from 8:30 a.m. to 4:30 p.m.) …

Medical Forms Alphabetical Listing | HFS - Illinois

    https://www2.illinois.gov/hfs/info/Brochures%20and%20Forms/Pages/medicalformsalpha.aspx
    Application for Health Coverage and Help Paying Costs HFS 2378ABES (pdf) Application for Payment of Medicare Premiums, Deductibles and Coinsurance HFS 2378M (pdf) …

Authorization to Disclose/Obtain Information

    https://www.dhs.state.il.us/onenetlibrary/12/documents/Forms/IL462-0146.pdf
    person entitled to give consent (person signing line 12/13) Line may be used by a co-custodial parent. (15) Staff person disclosing/obtaining information signs here. Specific …

Illinois Compiled Statutes - Illinois General Assembly

    https://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=1539
    Sec. 1. Consent by minor. The consent to the performance of a health care service by a physician licensed to practice medicine in all its branches, a chiropractic …

Minor Consent Issues - Illinois only – Whitted Takiff Law

    http://www.whittedtakifflaw.com/resources/publications/minor-consent-issues-illinois/
    V. ILLINOIS PUBLIC ACT 87-460: CONSENT BY MINORS TO MEDICAL PROCEDURES ACT AMENDMENTS Illinois Public Act 87-460 amends two sections of the Consent by …

2005 Illinois Code - Chapter 410 Public Health 410 ILCS …

    https://law.justia.com/codes/illinois/2005/chapter35/1525.html
    (b) No physician may conduct any research program or experimental procedure on a patient without the prior informed consent of the patient or, if the patient is unable to consent, …

Illinois Compiled Statutes - Illinois General Assembly

    https://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=1525
    that requires any insured patient or applicant for new or continued insurance or coverage to be tested for infection with human immunodeficiency virus (HIV) or any other …

Power of Attorney for Health Care - Illinois

    https://dph.illinois.gov/content/dam/soi/en/web/idph/files/forms/powerofattorneyhealthcareform.pdf
    you become unable to make your own health care decisions and have not named an agent in writing, your physician and other health care providers will ask a family member, friend, …

Medical Cannabis Patient Registry Program - Illinois

    https://dph.illinois.gov/topics-services/prevention-wellness/medical-cannabis.html
    The Illinois Department of Public Health manages the registry by reviewing and processing applications and issuing registry cards to Illinois residents meeting …



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