Advocate Condell Medical Center
a patient or visitor a physician or healthcare professional an employer
Decrease (-) Restore Default Increase (+) font size

medical services home
emergency services
search by doctor name 
Doctor Name Contains (Smart Search)
search by specialty

search by city/zip code
Find a doctor near your location by entering a city name OR ZIP code.

Within miles:
0 1 5 10 15 30 30+

search by insurance
Insurance Name Contains (Smart Search)
 (what's this)

emergency release form for dependents

When your child is under the care of a babysitter, school, or daycare provider, the Emergency Release Form assures treatment without delay. Simply complete the form and leave it with the person you have chosen to be temporarily responsible for your child. Please note that if there is ever a life-threatening illness or injury, emergency care will be provided to your child regardless of consent forms.

Emergency Release Form pdf

quick links patient information health care professional information employer information connect with Advocate

About Advocate | Contact Us | Jobs | SiteMap | Terms of Use | Notice of privacy practices ®Advocate Health Care, Downers Grove, Illinois, USA | 1.800.3.ADVOCATE | TDD 312.528.5030