Physical Exam, Immunization, and Medication Forms

Daycare, School, Medication Administration, and Camp Forms can be requested via email.  We can complete the standard DCFS Exam form from your child's last well child exam provided that he or she has had a physical exam within the past 12 months.  PLEASE NOTE:  Some schools require that a physical exam be completed no more than 6 months prior to enrolling in school or participating in athletics.

 

Medication forms must be obtained from the school and completed with as much information as possible prior to being signed off by your child's primary care physician.  You can fax these forms to our office and will be notified upon their completion.

Note: Please fill out the fields marked with an asterisk.

P: 847-658-6065

F: 847-658-6136

 

301 N Randall Rd

Lake in the Hills, IL 60156

 

** WE HAVE MOVED **

On February 1st, 2016, we began seeing patients at our new location.   Google Maps

 

 PATIENT PORTAL

 

 *** BULLETINS ***

 

CMG VACCINATION POLICY STATEMENT

Open Letter to Parents
VPS 1.1.16.pdf
Adobe Acrobat Document 136.6 KB

IL VACCINATION REQUIREMENTS

Required Vaccines for IL Schools
MinImmzReq.pdf
Adobe Acrobat Document 180.9 KB

2017-2018 FLU VACCINE CLINICS

 

Clinic Schedule

 

AAP GUIDELINES

 

New AAP Guidelines