Forms Policies

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

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Our Policies:

• Billing & Insurance
• Financial Policy
• General Office Policies
• Immunization Policy

New Patient Forms:

• Welcome to Partners in Pediatrics
• Registration Form
• New Patient Questionnaire
• HIPAA Consent Form
• HIPAA Notice of Privacy Practices

Additional Patient Forms:

• Patient Portal Instructions
• Patient Portal Release Form
• Medical Record Release Form
• Asthma Questionnaire
• ADHD Follow-Up Questionnaire
• Asthma Follow Up Questionnaire
• New Patient Forms
• Nine Month Questionnaire
• 24 Month Questionnaire
• Adhd Follow Up Questionnaire
• Patient Registration Form
• Patient Update Form