We will gladly provide you with forms needed for daycare and school. Please call our office and request the specific form you need. Immunizations forms for school vary by state. If you child is due immunizations, we will notify you and ask for you to schedule a Well Child Visit.
We will gladly complete these forms for you. We do require for your child to be up to date on a well child visit within the past 12 months. We realize you may bring your child to see the doctor for an illness or medication recheck, but these visits are for a specific problem. These visits are not as comprehensive as a well child visit and do not enable us to complete the forms. Our practice follows the guidlines for well child checkups as established by The American Academy of Pediatrics for well child visits. Please allow us 24 hours to complete the form.
On-Line Request for Camp forms, Sports forms, Daycare forms.
This is a new service offered by our practice on a trial basis. We hope this will be a value for our patients. As it is a new service we are sure we will be monitoring it closely to best serve you.
Important Facts/Rules:
This is the internet - we can not assure confidentiality -- if you have an issue you feel is confidential please do not use this means to meet your child's needs.
Please know that our staff as well as the MDs may be reviewing your request.
This feature is for non-emergency, non-urgen request -- the requests are reviewed once daily.
If you have not received confirmation of your request by email within 2 working days, please contact the office by phone.
If your child needs confirmation of a complete physical exam in the past 12 months and/or immunization status - please request below: Forms can only be completed if your child's Well Child Checkups are up to date. Once the form is complete you will be notified by email that it is ready to pick up at the office. If you would prefer that we mail it, please provide mailing address in the comment section.
All fields are required for your request to be processed.
