Forms & Policy Documents
NEW NEWBORN
(please fill out and bring all following paperwork to your appointment)
Welcome to the Practice
Consent
Demographics
New Newborn Demographics sheet
Patient Rights & Responsibilities
HIPPA
Privacy Notice
NEW CHILD
(please fill out and bring all the following paperwork, along with your child’s shot record, to your appointment)
Welcome to the Practice
Consent
Demographics
New Child Demographics sheet
Patient Rights & Responsibilities
HIPPA
Privacy Notice
MEDICAL RECORDS
(this form is used if we need to get medical information from a doctor’s office or if we need to send records elsewhere)
Let us introduce ourselves...
Highlands Pediatrics - Continuity of Care
Continuity of care is very important. Your child should be cared for by someone who knows them.