Patient Forms

Forms for well exams can be filled out prior to your visit!

Select the appropriate form for your child's age, then

Print and complete the form at home and bring to your visit

email COMPLETED forms to: info@sghpediatrics.com

A pleasant, comfortable first visit builds trust and helps put the child at ease during future visits. We want your child to enjoy getting to know our doctors and staff, so we work hard to establish this bond during every appointment to our office. During your initial appointment, we will explain everything in detail and answer any questions you may have.

We look forward to meeting you and your child and providing the quality, comprehensive medical care you expect and deserve.

Patient Registration Forms

Release of Records FROM SGH Pediatrics

HIPPA Policy

Release of Records TO SGH Pediatrics

Office Policy

Patient Portal Authorization Form

9 Month Questionnaire

M-CHAT (18 mo and 24 mo WCC)

12 month Questionnaire

18 month Questionnaire

24 month Questionnaire