Our Forms

Our Forms

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Forms

Our Forms

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Consent To Treat Form

A parent or legal guardian must accompany each child to his/her appointment. This form must be completed and on file with our office if an alternate caregiver will be bringing your child in for treatment.

Consent To Treat Form

Ages and Stages Questionnaires

2 Months-asq4 Months-asq6 Months-asq8 Months-asq9 Months-asq10 Months-asq12 Months-asq14 Months-asq16 Months-asq18 Months-asq20 Months-asq22 Months-asq24 Months-asq27 Months-asq30 Months-asq33 Months-asq36 Months-asq42 Months-asq48 Months-asq54 Months-asq60 Months-asq

Call Us

708-422-6569

Email Us

care@pedsassociates.com

Our Location

Evergreen Park and Orland park

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