New patient paperwork includes:
Information Sheet – Please complete one per family, with all children and birth dates listed at the top. A parent or guardian signature is required at the bottom of page 2.
Medical History Sheet – Complete one form for each child.
Financial Policy – Information about our financial policies and insurance.
Medical Record Transfers
Medical Release Form (From Pediatric Care, Inc.)
Medical Release Form (To Pediatric Care, Inc.)
1 month/2 month/4 month Visit
Edinburgh Postnatal Depression Scale (EPDS)
5 Year Visit