• helpkids@elkscare.org

  • 800-272-0074

Illinois Elks Children's Care Corporation

Forms (PDF, click to open and download/print)



PATIENT REFERRAL REQUEST FORM

PHYSICAL OR OCCUPATIONAL THERAPY MAJORS APPLICATION
The 2022-2023 application process will begin December 1, 2021. Application process is now closed for this year's scholarship.

PHYSICAL OR OCCUPATIONAL THERAPY ASSISTANT APPLICATION
The 2022-2023 application process will begin December 1, 2021. Application process is now closed for this year's scholarship.

LYDIA MILLER SPECIAL EDUCATION MAJOR SCHOLARSHIP
The 2022-2023 application process will begin December 1, 2021. Application process is now closed for this year's scholarship.