• helpkids@elkscare.org

  • 800-272-0074

Illinois Elks Children's Care Corporation

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



• 2024 BENEFIT CHILDREN'S CALENDAR ORDER FORM (CORRECTED)

• PATIENT REFERRAL REQUEST FORM

• PHYSICAL OR OCCUPATIONAL THERAPY MAJORS APPLICATION
The application is now closed for this year's scholarship. The 2025-2026 application process will begin December 1, 2024.

• PHYSICAL OR OCCUPATIONAL THERAPY ASSISTANT APPLICATION
The application is now closed for this year's scholarship. The 2025-2026 application process will begin December 1, 2024.

• LYDIA MILLER SPECIAL EDUCATION MAJOR SCHOLARSHIP
The application is now closed for this year's scholarship. The 2025-2026 application process will begin December 1, 2024.

• SPEECH PATHOLOGY SCHOLARSHIP
The application is now closed for this year's scholarship. The 2025-2026 application process will begin December 1, 2024.