Patient Handouts and Forms

HANDOUTS

 
Allergies
 
Avoid Mosquitoes
 
College Bound
 
Dry Skin
 
Ear Infections
 
Fever Medication Dosage
 
Healthy Eating
 
Healthy Living Diet and Exercise
Coping during Covid-19 Workbook
 
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

 

 

 

 

 

REFERRAL LISTS

Billing (847) 498-3776
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