670 Mall Drive
Portage, MI 49024

 
If you Only Knew...
(269) 327-1900

   
Home
Getting to Know the Office
Our Physicians
Expectant Parents
Well Child Exams
Sport Physicals
Immunizations
Insurance
Newsletters
Forms
Resources/Health Concerns
Contact Us

New Patients

           Family Information Sheet

           Family History Questionnaire

           Email registration

           Insurance Information

           New Patient History (if not a newborn)

Existing Patients

           Family Information Sheet (required by US Government to be updated yearly)

           Michigan Child Health Appraisal Form

           Sports physicals

                      MHSAA Link

                     Common form used by many of the local schools

           ADD/ADHD Evaluation

           Eating Disorder History Questionnaire

           Foreign Travel Questionnaire

 
©2005-2010 Pediatrics P.C. - 670 Mall Dr. - Portage, MI 49024 - (269) 327-1900