Receive Appointment Reminders via Text Message
You can now receive appointment reminders by text messages. Please tell one of our receptionists if you prefer reminders by phone call or text message.
Online Patient Forms
- Registration Form -New Patients & once per year!
- Registration Form for Patients over 18 New patients & once per year!
- Policies & Billing Guidelines New Patients please sign!
- Consent to treat/vaccinate This form is necessary for us to treat and/or vaccinate your child coming into our office with someone other than their parent or legal guardian.
- Records Release Form
- Notice of Privacy Practices New Patients please sign!
- Vaccine Policy Form-All Patients must sign!
- Patient Portal Registration-All Patients! Sign up here to access your child’s chart and send Rx refill requests on our Patient Portal.
- Submit Insurance Cards and/or Photo ID here
- Sign up for AutoPay here.
- ADD/ADHD Policy
- Self Pay Agreement
- AAP Health Information
- American Academy of Pediatrics – The Academy advocates for the health of all children, and works with government, communities and other national organizations to shape many child health and safety issues.
- Family Shade – Connecting Children with Special Healthcare Needs with Community Resources.
- Nemours Health Information
- Text4baby – Get FREE text messages on prenatal care, baby health, parenting and more
- Our online Patient Portal- Send secure messages to our phone nurse and access medical records, including immunizations.
- CDC – Concussion Information
- PEDS test online– Username-PedAdol1 Password pacl1234