Documents

Category:

Forms

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Advance Directives / DNR Form (9-9-2010)
The official Illinois Department of Public Health Advance Care Directives (DNR) Form

Advance Directives / Power of Attorney for Health Care (10-27-2010)
Illinois Statutory Short Form for Power of Attorney for Health Care

Advanced Directives / Living Will Declaration (9-9-2010)
Simple Living Will Form

Authorization to Release Health Information (1-22-2016)
Authorization to Release Health Information

Auxiliary Membership Form (1-3-2011)
Registration form to sign up to volunteer for the CGH Auxiliary.

Auxiliary Voluteen Application (9-9-2010)
Auxiliary Voluteen Application

CGH Dog Therapy Program Application (6-4-2015)
Use this application to see if your dog qualifies for the CGH Dog Therapy Program - Love on a Leash.

CGH Policy on Charity Services (12-30-2013)
Charity Services Policy for CGH Medical Center as of 1/1/2014

Charity Assistance Packet (1-11-2016)
Forms and scale for financial assistance

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