Pediatric Forms

Methodist Emergency Department

First Available Time :

Pekin Emergency Department

First Available Time :

Proctor Emergency Department

First Available Time :

Pekin Urgent Care

First Available Time :

Express Care - Peoria

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Pre-Surgical Tours - UnityPoint Health - Peoria

Registration Forms

Parents, please print, complete and bring to your child's scheduled appointment.

All Patients

9 month Well-Child visit:

18 month Well-Child visit:

2 year (or 24 month) Well-Child visit:

3 year (or 36 month) Well-Child Visit

11 - 13 year Well-Child Visit / Physical:

14 - 18 year Well-Child Visit / Physical: