Appointments: (334) 272-1799

Fax: (334) 272-4876

 

Appointments: (334) 272-1799

Fax: (334) 272-4876

 

The following forms are provided to help make your visit to Partners in Pediatrics as convenient as possible. On this page, you'll find information about our general office policies as well as links to some of the forms that you can print and fill out before your appointment. 

 Our forms are in Adobe format. You may download Adobe Reader for free at Click to download Adobe Reader


Our Policies:

Forms for New Patients:

  • Registration Form
  • New Patient Questionnaire
  • HIPAA Consent Form
  • Notice of Privacy Practices

 

Additional Patient Forms:

  • Record Release
  • Consent Form
  • Asthma Questionnaire