FORMS

Need to schedule a wellness check up or physical?

New Patients, Start Here!

If you need to schedule a wellness check up or physical, also complete the link above.

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 if paper copies, 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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