Refer a patient to Coordinated Care for Children with Medical Complexity

For healthcare professionals

Advocate Children’s Hospital in Oak Lawn provides comprehensive services to refer and track patients. Please download and print the referral form below for the Coordinated Care for Children with Medical Complexity (CCCMC) program. Once fully completed, please fax to our office at: 708-684-4717 with a copy of the last office visit progress notes.

A team member will contact you within 3 -5 business days.

CCCMC program referral form

We have created a template to help you contact the patient's primary care provider about your referral.

CCCMC referral recommendation for PCP

Please download our flyer to give to families interested in our program.

CCCMC flyer

A group of doctors and nurses
pal mobile
pig
beaver
lion
Making kids our mane focus
frog
zebra