Info Sheet & Consent Forms
New patients or patients that have not been into the office since the October 2013 update; please print out these forms, fill out and bring in with you to your next appointment: www.subpeds.com/docs/Info-Consent_Forms.pdf
Suburban Pediatrics Privacy Policy
Review the office's privacy policy.
www.subpeds.com/docs/SPL_PrivacyPolicy.pdf
Consent Form - Allowing Others to bring your Child/Children In
We understand that there will be times that someone else will have to bring your child into the office. Print, fill out and fax or bring in with you to your next appointment. www.subpeds.com/docs/ConsentForm_OtherToBring1.pdf
TB Risk Assessment Questionnaire
Patients coming in for thier 4 year old physical will need to fill out a TB Risk Assessment Questionnaire; please print out these forms, fill out and bring in with you to your next appointment: www.subpeds.com/docs/TB_Assessment.pdf
Immunization Record Card
Enter your child's immunization dates on this card for easy reference.
www.subpeds.com/docs/ImmunizationRecord.pdf
Reccomended Doctor's for Patients Over 18 years of age
Once kids become legal adults at age 18, they can visit an adult primary care physician (PCP), such as an internal medicine doctor (internist), a general practitioner, or a family medicine doctor.
www.subpeds.com/docs/Older_DoctorList.pdf