• Laurel Heights Pediatric and Adolescent Care

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Laurel Heights Pediatric and Adolescent Care

Patient Forms

For your child’s first visit, please complete the forms below and bring them to our office on the day of your child’s appointment. Forms are available in English, Spanish and Chinese.

Pediatric Registration packets

Patient Registration Form

Consent

Terms & Conditions

Privacy Practices

My Chart Account

Authorization for Release of Health Information

M Chat


Staying Healthy Assessment