We ask that all new patients arrive at least 15 minutes
prior to your appointment time.
There are several forms to complete in order to prepare your child's chart for his/her visit. In order to expedite this check in process, we have provided the Patient Registration forms, Financial Policy form, and HIPAA Policy form for printing and completion prior to your arrival.
If you need to request records from your former pediatrician, please print the Incoming Records Release form below.
We require the former records to be in our office at least 3 days prior to your child's visit, therefore we recommend sending the request form to your former pediatrician several days before your scheduled appointment
with our office.
If you are bringing your newborn for his/her first visit, please remember to bring the hospital discharge papers with you.
In the instance that you may need to request records for a specialist visit or if you are transferring from our practice to another, please print and complete the form below. There may be a fee for the retrieval and/or copying of your child's records. Please allow at least one week to transfer your child's records. Records located in off-site storage may require additional fees and time. Be certain to include a valid phone number on this transfer out form, for our staff will be contacting you upon receipt.
Privacy Notice: Pediatric Associates of Johns Creek, PC does not solicit nor sell any information provided by our site visitors. No patient information is required nor shared on this domain. The opinions and advice expressed by the resource links and physician advice resources provided by this website do not necessarily represent those of the physicians and staff within Pediatric Associates of Johns Creek, PC. Contact your physician with any questions or concerns.