Patient Forms

With your busy schedule, we know your time is valuable and no one likes long waits at the doctor’s office. So to help minimize your wait time at F. Read Hopkins Pediatric Associates, please fill out the forms below in advance and bring them to your appointment. Remember, we are here for you, so please call us with any questions you may have regarding these forms. We look forward to your visit with us.

  1. Patient Registration Packet
  2. Patient Registration Packet – 18 Years or Older
  3. Patient Registration Form
  4. Patient Registration Form – 18 Years or Older
  5. Consent Form
  6. Notice of Privacy Practices
  7. NPP Acknowledgement
  8. PHI Authorization Form
  9. Request for Access to Personal Health Information
  10. School Entrance Form
  11. Sports Physical Form