Office Forms

 

Sand Castle

 

The following forms are for your convenience.

Please take a moment to download the neccessary forms and bring the completed documents with you to your appointment.

 

New Patient Forms:

                              New Patient Packet

                                     (Please fill out the forms prior to your first appointment.)

 

Records Release Forms:

                              Send Records Form 
                                     (To have records sent to Desert Shores Pediatrics.)

                              Release Records Form 
                                    (To release records from Desert Shores Pediatrics to another office.)

 

Other Forms:

                              Parent Consent Form
                                    (To have the child brought in by someone other then the parent.)

                              Update Family Registration Form
                                    (To confirm current information or provide us with updated information.)

 

(All forms are in PDF format and require Adobe Reader to view them.
You can download this free program at
www.adobe.com
If you have trouble viewing the PDF online,
you can right click on the link and save the file to your computer. )