Sample Client Education and Enrollment Materials
Please Note: These forms cannot be accepted for enrolling patients.
Providers can download these letters, print them on clinic letterhead and distribute to patients who have presented for care but are not enrolled on the PCPs' panel.
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
Illinois Health Connect Brochure:
For All Providers NOT in Adams, Brown, Cook, Henry, Jackson, Kane, Lee, Madison, McHenry, Mercer, Perry, Pike, Randolph, Rock Island, Scott, St. Clair, Washington or Williamson 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.
- For Providers in Cook County Only
- For Providers in Kane, Jackson, Madison, Perry, Randolph, St. Clair, Washington, and Williamson Counties
- For Providers in Adams, Brown, Henry, Lee, McHenry, Mercer, Pike, Rock Island and Scott Counties
- For All Providers NOT in Adams, Brown, Cook, Henry, Jackson, Kane, Lee, McHenry Madison, Mercer, Perry, Pike, Randolph, Rock Island, Scott, St. Clair, Washington, and Williamson Counties
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.
- For Providers in Adams, Brown, Cook, Henry, Jackson, Kane, Lee, McHenry Madison, Mercer, Perry, Pike, Randolph, Rock Island, Scott, St. Clair, Washington or Williamson Counties
- For All Providers NOT in Adams, Brown, Cook, Henry, Jackson, Kane, Lee, McHenry, Madison, Mercer, Perry, Pike, Randolph, Rock Island, Scott, St. Clair, Washington or Williamson Counties
(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.
(Downloadable file requires Adobe Acrobat Reader - Free Download)
