Covid Office Policy Addendum- Everyone Must Complete


Covid Policy Addendum


15-18 Year Forms

Your child must be 15 or older at the date of their scheduled appointment to complete these forms. 

All of these forms can be completed from your phone or computer. Please click on the link, submit the form, then come back to this page to complete the next link. There are 5 forms in total to complete. Two are for the parent to complete, three are for the child to complete.


Parent Please Complete: 

Bright Futures


Please Have Child Complete:




If this is your first time at our office, please complete these as well. And Welcome!

New Patient Intake

Covid Policy Addendum

Office Policies 

Health History

Fax: 618-281-8393 

PHONE HOURS: Monday-Friday 8:00-4:30,

Evening and Weekend Appointments Available

Evening and Weekend Appointments Available

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