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MEDICAID NOTICE: Lurie Children’s continues to serve all patients enrolled in Medicaid. As a safety-net hospital, we will continue providing high-quality care to every child who needs us.

AVISO SOBRE MEDICAID: Lurie Children’s continúa atendiendo a todos los pacientes inscritos en Medicaid. Como hospital perteneciente a la red de protección social, continuaremos brindando atención de alta calidad a cada niño que nos necesite.

Lurie Children’s Home Make an Appointment Consent Forms & Documentation

Consent Forms & Documentation

New Appointments: If this is a new appointment, consent forms/documentation must be signed at the visit by a legal guardian.

Return Appointments: If this is a return appointment, the consent forms/documentation will be expired. In order to prevent any interruptions in your child's care, please carefully read, sign and bring the four (4) documents shown below at the time of your child's appointment. These documents can be brought by the adult accompanying your child to the appointment, as long as they are signed by a legal guardian in advance. The documents will be scanned to your child's medical record and will be valid for one (1) year.

Please note:

  • Each child will need their own set of signed consent forms/documents.
  • If these documents are not received at the time of the appointment, we may need to reschedule your child's appointment.

Appointment Documents:

Consent Forms & Documentation