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A to Z Pediatrics, LLC

A to Z Pediatrics, LLC

A premier pediatric practice in the heart of the Metro East!

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  • E-Forms
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E-Forms

Click on the desired form(s) below to complete your child’s “paperwork” in a quick and secure (HIPAA-compliant) manner:

Flu Vaccine Forms

Men B or HPV vaccines

Lead & TB Questionnaire

Insurance Change Form

Records Release – Incoming

New Patient Registration

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Caseyville

1230 Tanglewood Parkway
Caseyville, IL 62232
618-345-5437
M-F 8:30am - 5pm
Walk-In: M-F 4 - 6pm
Sat 8:30am - 10:30am (school year)

Bethalto (in Anderson Wellness Center)

610 Texas Blvd
Bethalto, IL 62010
618-345-5437
M - F 8:30am - 5 pm

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