Forms & Policies

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Select from over 100 symptoms to read more about managing your child's illness.

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Patient Portal

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Patient Forms

Quickly and conveniently access patient forms from our practice.

To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com.

Patient Forms

You may email signed Medical Records requests or other patient forms requiring completion to forms@intownpediatrics.com.

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

Parents must complete ALL patient information fields.  Submitted Physical Forms must include the following pages:
History
Athlete With Special Needs/Supplemental History
Physical Examination
Medical Eligibility

Forms submitted with missing pages cannot be completed.  Please allow 3-5 business days from receipt for completion.

Office Policies

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