Online Pediatric Services
The Children’s Medical Group cares about our families and servicing them better. We know as parents you time is valuable. Our Patient Services area is a convenient on-line alternative to interacting with our practice. We offer many services that can be completed on-line including:
If you are a new patient, please download and complete these forms. Bring them with you at your first visit. Click on the desired form below, download and print.
Our forms are in pdf format. To download, you must have Acrobat Reader. You may download Adobe Reader by visiting www.adobe.com.
- New Patient Packet for Newborn – 17 Years of Age [pdf]
- New Patient Packet for 18-23 Years of Age [pdf]
- Notice Of Privacy Practices (HIPAA) [pdf]
- Authorization Form To Release Information (HIPAA) [pdf]
- Authorization Form To Receive Information From A Previous Provider (HIPAA) [pdf]
- Return To Practice Form [pdf]
- Return To Practice From 18-26 years [pdf]
- Patient’s Bill Of Rights [pdf]
- Email Consent Form [pdf]