4 YEAR FORMS

Covid Office Policy Addendum- Everyone Must Complete

Covid Policy Addendum

4 Year Forms

Your child must be 4 or older at the date of their scheduled appointment to complete these forms. If your child is not yet four, please complete the 3 year 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 3 forms in total to complete. 

Bright Futures

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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