Happy New Year!

2020 Electronic Forms are Now Updated on the Annapolis Pediatrics Website.

Existing patients who have already completed the full intake packet of health information for each child in 2018 or 2019 will ONLY need to complete a few forms before your first 2020 office visit.
 
These forms require annual signatures, for each child:
  • HIPAA Privacy Notice and Consent
  • Proxy Consent Form (if designating a proxy)
  • Vaccine Policy
  • Financial Policy
  • No Show Policy 
When you arrive for your first appointment in 2020, you will receive a Patient Demographic Data Form for your child. You will then have the opportunity to review and make any changes to your child’s health data.

Click HERE to go to our forms page to complete your electronic 2019 forms.

(If you are unable to complete the required 2020 forms electronically ahead of time, you will need to complete them in our office. Please allow 10 extra minutes before your next appointment to complete any required forms.)
*If you have not completed a full intake patient packet since before 2018, we will still need your entire packet of updated information before your next 2020 appointment.
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Each year, we are working to make the forms submission process easier, while still remaining consistent with our values of providing exceptional care for every child.

 

Thank you always for your understanding and patience.
2020-01-03T15:59:37+00:00News, Parent Resources, Services|