Forms

Patient Information Forms
HIPAA Privacy Statement
Healthcare Power of Attorney
Release of Records to Primary Care Associates from Another Physician or Hospital
Release of Records from Primary Care Associates to Another Physician
Childhood Lead Risk Assessment Questionnaire
Tuberculosis Screening Questions
IHSA Sports Pre-participation Exam Form
Modified Checklist for Autism in Toddlers
Vanderbilt Teacher Follow-up Form for ADHD - Teacher's Form
Vanderbilt Parent Follow-up Form for ADHD - Parent's Form

Patient Education

Patient Portal
Patient Forms
Map & Directions
Our Office

Announcements:

COVID-19: Based on the recommendations of the CDC during the COVID19 pandemic, doctors are encouraged to limit nonessential visits of patients to the office and perform remote visits using telephone, video and other messaging technology such as portal and texting.

The Physicians at Primary Care Associates are in the office daily.
Only well patients are being seen inside of our office.
Patients with any acute illness (fever, sore throat, cough, cold, vomiting, diarrhea or other symptoms of illness) are being seen in their cars in our parking lot.
We are pleased to offer Telemedicine visits for our patients. Please contact your physician.

For more information about Covid-19, please see CDC.GOV (Centers for Disease Control and Prevention), llinois Department of Public Health (dph.illinois.gov) or call the Covi-19 Hotline at 1-800-889-3931.