FORMS

New Patient Forms

Welcome to Ideal Pediatrics! We look forward to meeting you and your child. Please complete the following forms so we can begin registering you. Each link is a separate form. Once completed with a form, press submit, then return to this page to complete the next link. Once all forms are completed, select the type of upcoming appointment you have to complete the remainder of your paperwork. 

New Patient Intake

Office Policies

Covid Policy Update 

Health History

Records Release TO Ideal Pediatrics

PHI info (for review only)

NEXT

OR

Fax: 618-281-8393 

PHONE HOURS: Monday-Friday 8:00-4:30,

Evening and Weekend Appointments Available

Evening and Weekend Appointments Available

  • White Facebook Icon
  • Instagram - White Circle