How To Apply
Filling out an application is easy, but we’re always happy to answer questions along the way!
Our staff can help you fill out an application over the phone. We can even arrange to meet you at your home or another convenient location if that helps.
Applying to the Division of Specialized Care for Children
To apply, you may download and fill out the application form below. You can email the completed application to firstname.lastname@example.org.
You may also print out the application and mail it to:
UIC Division of Specialized Care for Children
3135 Old Jacksonville Road
Springfield, IL 62704
How long does it take?
Once you’ve submitted your application, our Enrollment Team will review your application and send you an Authorization to Release Health Information. This authorization allows us to receive the medical records necessary to confirm whether your child has an eligible condition.
We work as quickly as we can to determine if and how we can help your child. Our goal is to begin making a difference in your family’s life as soon as possible!
Find out how we protect your privacy (Notice of Privacy Practices in English or Notice of Privacy Practices in Spanish).