3 YEAR FORMS

Covid Office Policy Addendum- Everyone Must Complete

Covid Policy Addendum

3 Year Forms

Your child must be  3 years or older at the date of their scheduled appointment to need these forms. If they are not yet three, please complete the 30 month 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 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

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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