Medical Records, Forms, Policies & Refills
Medical Records, Forms, Policies & Resources
Need a school or daycare form, doctor’s note, physical form, immunization record, or medical records request — submitting a written request through your patient portal is the fastest and most efficient way to get what you need.
Below is a list of forms that you can download. You can print these forms out at home and bring them with you to our office.
*Completed forms need to be sent via email to
medrecords@pedcarespecialists.com
New Patients
Medical Records Transfer Forms
Office Policies
Daycare Forms
High School Sports Pre-Participation Physical Forms
Behavioral Health Forms
Well Check Forms
18+ Consent Form
*MUST BE FILLED OUT BY PATIENT

Need A Prescription Refill?
Log into your portal account and request a refill below.




