Before your child’s first visit, please complete the new patient forms below and bring them with you to the appointment.
Authorization to Accompany Patient
Click the image above to view the form.
Circumcision Consent Form
Click the image above to view the form.
MEDICAL RECORDS REQUEST PROCESS
First Choice Pediatrics parents and requesters will use RecordQuest’s Online Request Portal to submit a request for medical records. Patients and requesters can receive records within a 24-48 hour timeframe from submission. RecordQuest provides bilingual customer service for patients and requesters seeking information on instructions using the request portal, record release status and more. RecordQuest Customer Service line: 888-300-7410 or help@recordquest.com.
Paper requests can still be made in office. Download the Medical Records Request Form here.
