It is not necessary to bring printed and completed forms with you to After Hour Pediatrics – you can complete them when you arrive with us.

Most importantly, please remember to bring your insurance card and ID.

It would be helpful to download and complete the Consent Form if somebody other than the parent is bringing your child to us (baby sitter, nanny or grandparent). Once you have registered this form you will need to update it annually.

Forms for sports physicals are lengthy and time consuming.  Those are best to complete ahead of time to ensure they are complete.

Most of these forms are in Adobe Reader (PDF) format. In order to open them you will need to have Adobe Reader or an equivalent PDF reader program installed on your computer. To obtain Adobe Reader, follow this link.

Registration Form
This registration form needs to be completed before your child is examined. This form is also available at the time of check-in.

Patient Registration Form


Physical Examination Forms

These forms are reviewed before we give your child a physical examination. If you have not previously registered with us, the registration form listed above is also required. This is a lengthy time consuming form and it is best to complete this ahead of time.

Physical Examination Form

Physical Exam Insurance Notification and Waiver

Physical Examination Flyer

Other Forms
These forms are required for various individual situations.

Request for Release of Medical Records

Consent to Treat a Minor

Photo Consent Form