Arlington Pediatrics, Ltd

Arlington Pediatrics, Ltd
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Forms

Forms

At APL, we strive to keep our patient families informed and up-to-date regarding our office policies, routine immunizations and more.

Below are a variety of forms (in .pdf format) for you to view and print.

OFFICE POLICY FORMS
Missed Appointment Policy
Notice of Privacy Practices
Insurance / Payment Details
Immunization Schedule

TRANSFER RECORDS TO APL
Records Release Form

We’re Here To Help

If you have any questions regarding our forms or policies, please contact our office by calling (847) 398-0400.

Arlington Pediatrics, Ltd. is located at:
3325 N. Arlington Heights Road, Suite 100A
Arlington Heights, Illinois 60004

Flu Clinic

Check-in and Procedure

Influenza Vaccine Information Statement

APL Library

View and print documents from:
  • General Handouts
  • Immunization Info
  • OTC Dosage Guide
  • Routine Checkups

PATIENT PORTAL

Sign in HERE

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