Notice of Privacy Practices

How our practice handles your Protected Health Information

New Patient Registration Forms 

To register as a new patient with our practice


FORMS

Baby Sitter Assist Form 

This form can be displayed on your fridge providing your child's caregiver with pertinent medical information and contact information.

Medical Records Release Policy

How the processing of a records request works

Medical Record Release Form

Form needed to transfer your child's medical record either into or from our practice.



PL Physicians - Pediatrics