3 YEAR FORMS

Covid Office Policy Addendum- Everyone Must Complete

Covid Policy Addendum

30 Month Forms

Your child must be 30 months (2.5 years) or older at the date of their scheduled appointment to complete these forms. If your child is not yet this age, do the forms for age 24 months.  

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 4 forms in total to complete. 

Bright Futures

Development

TB

Lead

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

New Patient Intake

Office Policies 

Covid Policy Addendum

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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