Glens Falls Pediatric Consultants, P.C.
Glens Falls Pediatric
Consultants, P.C.
154 Warren Street
Glens Falls, NY 12801
518-798-9985
FAX-761-7043

Glens Falls Pediatric Consultants, P.C.

Mon-Thur: 8:00am-7pm
Friday: 8:00am-6pm
Saturday: 8:00am-5pm
Sunday: 8:30am-1pm

 

 

 Home / Forms

Form Downloads

  1. Patient Registration
  2. Release of Protected Health Information From GF Pediatrics or Pediatric Asssociates of Saratoga
  3. Release of Protected Health Information To GF Pediatrics or Pediatric Asssociates of Saratoga
  4. New Born Package
  5. Authorization for Treatment of Minor When Parent is Not Present
  6. Authorization for Immunizations of Minor When Parent is Not Present
  7. Permission to Administer Medication in School
  8. Physical Exam Forms
  9. Vanderbilt Assessment Scale for Parents
  10. Vanderbilt Assessment Scale for Teachers
  11. MCHAT - Autism Screen 
  12. HIPAA Consent Form 
  13. HIPPA Consent Form for a patient at least 18 Years of Age
All forms are in PDF PDF format. Click Here to download Adobe Acrobat.


Pediatric Associates of Saratoga
Pediatric Associates
of Saratoga
4 Carpenter Lane
Saratoga Springs, NY 12866
518-587-3823
FAX-587-6677

Pediatric Associates

Mon - Wed: 8am-7pm
Thur & Fri: 8am-5pm
Saturday: 8am-5pm
Sunday: Closed


Home • About • Resources • Forms • Employment • Contact Us
SitemapSitemap PrintPrint
© 2009 - 2013 Glens Falls Pediatric Consultants PC & Pediatric Associates of Saratoga
Web Site Layout & Maintenance by Nolee-O Web Design
 

prestashop themes

virtuemart templates

magento themes