McDonald Pediatrics

Patient Forms

We hope the years spent with us will be happy and healthy ones.  Please let us know how we can assist you and your children with your needs.

1. Print the forms attached.
2. Complete the (4) forms by Custodial Parent Only and bring them to your first visit at our office.The copy of McDonald Pediatrics Notice of Privacy Practices is for your records only.
3. Be sure to bring your insurance card/s to each and every visit.

Face Sheet
Family History Form
Minor Consent For Treatment
PHI Consent Form
Notice of Privacy Practices