Patient Resources

Assessing the state of your child’s health!
Associates in Pediatric Care-Hampton offers a full array of services to help your child maintain good health.

Forms


We are happy to provide our office forms for convenient download on your home computer. Please print and complete the forms below, and return at your earliest convenience by fax, mail, or office drop-off. Questions about which forms you need? Please call our office and our courteous staff will assist you in preparing for your child’s first visit.

New Patient Packet
Patient Rights and Responsibilities
History Questionnaire
HIPAA Notice
Patient Information Sheet
Release of Records
HIPAA Signature Page
Caregiver Consent Form
Vaccine Policy

Resources


Preparing For Your First Appointment
HealthyChildren.org
American Academy of Pediatrics
Centers for Disease Control and Prevention
NICHQ Vanderbilt Assessment Scales