Arlington Pediatrics Ltd. - "We Treat Our Patients Like Our Own Children."

To make an appointment at Arlington Pediatrics Ltd., call 847-398-0400.


	arlingtonpediatrics.com

       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 for you
       to view and print.

Office Policy Forms (.pdf)

- Missed Appointment Form

- Notice of Privacy Practices

- Insurance / Payment Details

- Immunization Schedule
(web link to AAP site)

"Get Acquainted" Form (.pdf)
- New Patient Consultation

First Visit Form (.pdf)
- Family Information Sheet

Transfer Records To APL
- Records Release Form

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	If you have any further questions, please contact us at (847) 398-0400.

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