What to bring with you to your first visit
- Your Drivers License or State ID
- Insurance card
- Registration Form – print and complete
- Privacy Acknowledgement Form – print and sign
- Alternate caregiver form – print and sign
- Your child’s Immunization records
What to bring at every visit
- Your Drivers License or State ID
- Your insurance card
Forms to Download
- Registration Form
- Privacy Statement
- Privacy Acknowledgement Form
- Alternate Caregiver Form
- Authorization to Transfer Medical Records (to transfer out TO another practice)
- Request for Medical Records (for new patients transferring FROM another practice)
School/Camp Forms
(Email forms to: forms@pediatricsolutions.net)
***This email is for sending in blank forms only. Please do NOT ask medical questions or send protected health information through this email.