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

FORMS

ADHD Questionnaire

 

Atopic Dermatitis Action Plan

 

Authorization to Disclose Records

 

Authorization to Treat Minor Child

 

Record Transfer Request (Fee Applies)

 

REFERRAL LISTS

Billing (847) 498-3776
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