The following forms will be presented to you at the time of assessment. To expedite the assessment process, you can choose to print and complete the following forms to have available when you arrive.

Forms

Safety Brochure
IL Rights of Recipient
IL Rights of Recipient – Spanish
My Rights
Health History Questionnaire
Health History Questionnaire – Spanish
Guardianship Acknowledgment and Certification
Guardianship Acknowledgment and Certification – Spanish
FAQ – Inpatient Fact Sheet
Face Sheet
Face sheet – Spanish
Child Unit Patient Belongings Guidelines