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Sample Client Education and Enrollment Materials

Please Note: These forms cannot be accepted for enrolling patients.

These are some sample client education and enrollment materials that you may review in order to familiarize yourself with the materials that will be sent to your patients.

(To find out how a client can enroll with a PCP, please visit our Client Enrollment page.)

Patient Education Materials for Distribution at Your Clinic

Medical Home Information:

Illinois Health Connect Brochure:

For All Providers NOT in Cook, Madison, Perry, Randolph, St. Clair, Washington, Williamson and Jackson Counties.

Letter to Existing patients announcing participation:

Automated Health Systems has prepared some standard patient education letters that can be downloaded and personalized for distribution in your office.

Handout for Patients who Present to the Wrong PCP Office:

Providers can download these letters, print on clinic letterhead and and give to patients who present for care but are not enrolled with a PCP in that office.

(If you are unable to open the downloaded documents, please downloadMicrosoft Word Viewer 2003 - it is a free download.)

Handout for Patients who are Registered to the Right Office but Wrong PCP:

Providers can download these letters and print on clinic letterhead and give to patients who are registered to the correct office but to the wrong PCP in that office.

Illinois Health Connect Client Enrollment Policy

Please download and review the Client Enrollment Policy

 

(Downloadable file requires Adobe Acrobat Reader - Free Download)
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