New Patient Paperwork

Here you’ll find downloadable forms that you can print and bring with you for your new and next appointment with us.
NEW PATIENT FORMS

Transfer to Richardson Pediatric Associates

MEDICAL RECORDS RELEASE FORM

View Your Child’s Medical Charts at Home

MyChart REGISTRATION INSTRUCTIONS
SIGN-IN TO MyChart

Well Child Visit

NEWBORN
2 WEEKS
1 MONTH
2 MONTH
4 MONTH
6 MONTH
9 MONTH
12 MONTH
15 MONTH
18 MONTH
2 & 3 YEAR
4 TO 10 YEAR
11 YEAR+

Athletic Forms

SPORTS EVALUATION FORM

Ear Piercing Information

EAR PIERCING

Attention Deficit Disorder

ADHD POLICY

Useful Links

HEALTHY CHILDREN
CENTERS FOR DISEASE CONTROL
CHILDREN’S HEALTH