FORMS

Scheduled for a visit? Start here.

No Appointment, New Patient? Start Here

(To save you time, we'll call you once we've received everything to get your scheduled)

Additional Forms

 Release of Records

      Have records sent TO Ideal Pediatrics.

      Have records sent FROM Ideal Pediatrics to another facility       

    ($10 handling fee, 10 cents per page, May take up to 3o days. 

     Expedited fee for under 48 hours, $25. Once your signed form is

     received, you will receive a text with a link for payment)

PHI info

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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