SPRINGBOARD PEDIATRICS
All fields are required
Type of Visit
Well Visit (5-11 years old)
Rash
Sick Visit
Well Visit (1-4 years old)
Well Visit (12-17 years old)
Well Visit (1-8 days old)
Well Visit (9-28 days)
School Physical
ADHD Assessment
Office
SPRINGBOARD PEDIATRICS
Reason for Visit
e.g. Initial Consultation
Patient name
Firstname Lastname
Date of birth
mm/dd/yyyy
Email
email@example.com
Home phone
(555) 555-5555
Cell phone
(555) 555-5555
Requested time
Select a time below under Available Times
Office Address:
2888 N Monroe St DECATUR IL 62526
2888 N Monroe St DECATUR IL 62526
New and Existing patients can make appointments online.
Office Phone:
(217) 876-8000
You must select a date and time for your appointment.
Available Times
Previous Week
Next Week
Visit Length:
15 minutes
Submit Appointment Request
You will receive an email confirmation.
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Action Required: Confirm your appointment