Forms & Policies

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We encourage you to register with the Easy Care Pediatrics Patient Portal. This is the best way to keep in touch with our staff during business hours. Our pediatric nurse checks the portal for messages every hour on the hour, to address any matters that require attention.

Change of Address

You can submit your change of address request through our Patient Portal, or request it in person when you get to our office.

Health Form

Please go to the Patient Portal to request this form.

Referral Request

Please go to the Patient Portal to request this form.

Medical Record Request

Please go to the Patient Portal to request this form.

Notice of Privacy Practices

Before your first appointment at Easy Care Pediatrics, please take a moment to read our Notice of Privacy Practices, medical and financial information and bill of rights , which will inform you about the ways in which we will and will not use your medical information. When you arrive at our facility, we will ask you to sign a document to confirm that you've read it.

Notice of Privacy Practices, medical and financial information and bill of rights (PDF)

 

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