Please use the following forms for your convenience.
Before your first visit, your child will need forms numbered 1 through 3 filled out to completion.
First Visit Forms
- Insurance Information
- Financial Policy and Authorization
- Patient Registration
- Notice of Privacy Practices
- Release of Records to New Physician
- Release of Records to Pediatric Associates of Avon
- Temporary Authorization for Care
Feel free to contact us with any questions.
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