Forms & Policies

Authorizes someone other than the parent to bring a child to their appointment.
Through The Years Pediatrics Immunization Policy
Demographics Form Please fill this out and bring it to your NEW PATIENT appointment.
Please fill out this form regarding your child's medical history and bring it to their NEW PATIENT appointment.
Please fill out and bring the Medical Records Release form to your child's NEW PATIENT appointment.
Please fill out this form and bring it to your child's NEW PATIENT appointment.
ImmTrac Consent This form allows us to enter your child's immunization records into the Texas state registry for easy retrieval in the event of a move or loss of records. Please fill out and bring this form to your child's NEW PATIENT appointment.


Surveys and Questionnaires


Links For School Physicals