New Patient Forms, Map and Directions to Oak Park Office
Thank you for choosing Oak Park Pediatrics Ltd. as your child's medical home, where we always provide a comfortable, caring environment so our patients and their families can feel at ease. We've included helpful items on this page to ensure you and your child's first trip to our office is productive, stress-free and enjoyable.
If you're preparing for your child's first visit, you can do a few things to help expedite the appointment. Please provide the following information when you arrive for your visit:
- Insurance cards
- Complete immunization records
- Medical records from your previous pediatrician
New Patient Forms
We are happy to provide our office forms for convenient download or fill out online on your home computer. Please print and complete the forms below, and bring them with you to your child's first appointment, or click Online for the online forms below. Questions about which forms you need? Please call our office and our courteous staff will assist you in preparing for your child's first visit.
- Registration and History [PDF] | [ONLINE]
- Consent to Treat [PDF] | [ONLINE]
- HIPAA [PDF] | [ONLINE]
- Medical Release [PDF] | [ONLINE]
- Financial Policy [PDF] | [ONLINE]
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it: