Forms & Policies

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Patient Forms

Quickly and conveniently access patient forms from our practice.

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Patient Forms

There is no charge to send Medical Records between physicians; however, there is a fee associated with other medical records requests.

Preparticipation Physical History and Evaluation:

Submitted Physical Forms must have ALL patient information fields completed by parents and include the following pages:
Athlete With Special Needs/Supplemental History
Physical Examination
Medical Eligibility

Forms submitted with missing pages cannot be completed.  You may email forms that have been completed to  Please allow 3-5 business days from receipt.

Office Policies

Our In-Network Insurance List:

Intown Pediatrics’ In-Network Insurances

New Patients please note: Due to the many patients desiring an appointment, a missed first appointment may lose the opportunity to schedule another appointment.