Patient Handouts and Forms

HANDOUTS

 

Allergies

 

Avoid Mosquitoes

 

College Bound

 

Dry Skin

 

Ear Infections

 

Fever Medication Dosage

 

Healthy Eating

 

Healthy Living Diet and Exercise

 

 

Lice

 

New Born Topics

 

Sleep Habits

 

Sports Injuries Among Children

 

Starting Solids

 

Vomiting and Dehydration

 

Well Checkup and Scheduled Services

 

Constipation

FORMS

ADHD Questionnaire

 

Atopic Dermatitis Action Plan

 

Medical Information Release Form (Fee may apply)

 

Patient Record Transfer Request (Fee applies)

 

Authorization to Treat Minor Child

 

Patient Registration Form

 

 

 

REFERRAL LISTS

Billing (847) 498-3776
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