Documents: To download and print our Record Release to transfer care to another provider, click HERE.
To download and print our HIPAA Preference form -required for new patients, click HERE.
To download and print our CONSENT TO TREAT form, to designate someone other than yourself
to bring your child to an appointment, click HERE.
To download and print our New Patient Registration page, click HERE.
To download our PATIENT CONTACT information update page, click HERE.
FORMS Our office is not responsible for reminders of well checkups. Last minute appointments may not be available.
June 1st of the current year. If the well check was before June 1st, a sports physical will be required before completion of the form at an out-of-pocket cost of $60. If you need more information on PIAA Forms and Requirements, please check HERE.
Will your child need to be given immunizations?
Most children will receive multiple vaccines at visits during the first year and a half. Each year, vaccines may be required, however, children who remain on the recommended vaccine schedule without falling behind, typically will not require vaccines at the 2 or 2 1/2, and the 6 through 9 year well checks, other than a possible flu vaccine. Please note that this is just a guideline since recommendations change.
Click HERE for more information on which vaccines your child may require.
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Healthy Starts Pediatrics, PC