New Patient Intake
Transferring Records TO Ideal Pediatrics
Health History
Office Policies
COVID Policy Update
Credit Card Authorization Form
Please select the appropriate age and complete all forms. If your child is between ages for forms, select the forms younger than their age. For example, if your child is 21 months old, complete the 18-month forms.
For your convenience, we have linked a few school physical forms. If your school or daycare has their own form required, please ensure you bring it to your appointment with your portion completed.
IL School Physical Form
IL Sports Physical Form
Kirkwood Kindergarten School Physical Form
Mehlville School Physical Form
Lindbergh School Physical Form
MO Sports Physical Form
MO Child Health Exam Form (Infant-Preschool)
Release of Records have records sent to Ideal Pediatrics
Release Records TO Ideal Pediatrics
Release Records FROM Ideal Pediatrics
Flu Contraindication
VFC Eligibility
Vaccine Screening for Contraindication