This page is divided into three parts:

1. Office Policies
2. Printable Forms for our office, schools, and more
3. Related Documents:  printable forms for ADHD diagnosis and management, medical release for temporary guardian, school forms for allergies and asthma, etc

Please click on the links below to access our policies:

• Patient Privacy (HIPAA Policies)
• Policies and Procedures of Pediatric Partners
• Red Flag Rules
• Health Form Policies
• Social Media Site Policy
• Missed appointments:  Our office has a charge for missed appointments and appointments cancelled without a 24 hour notice.  As a courtesy to our patients, we provide reminder phone calls prior to previously scheduled appointments. If this phone call is not received for any reason, it does not remove the opportunity or responsibility for your appointment. If your primary phone number is a cell phone, be aware that many mobile phone carriers do not take messages from our automated system. It will be your responsibility to write down your appointment time when the appointment is made.
• Winter Weather: Our office attempts to stay open during normal business hours during all weather, but if we close, it will be posted on the Home Page and an e-mail sent to all who are registered on our site.  If you do not feel comfortable driving to an appointment due to bad weather, please call the office to reschedule.  We will not apply our usual less than 24 hour cancellation fee for weather related rescheduled appointments if we are under weather advisories.  If you do choose to keep your appointment, leave early, drive safely and be sure to have enough gas, extra blankets and a working cell phone.  We will offer Baby Valet for all of you with just one adult and young ones.  Simply call our office from your cell phone when you get to our parking lot and someone from our office will take your baby into the entryway while you park.  Going out, remember to ask to have someone walk you down and wait with your baby while you get your car.  Stay warm and safe!

Printable Forms:

• Health Forms for School, Daycare, Sports, and More
• Medical-Surgical History Review for new patients
• Patient Information Form to be updated yearly
• Policies and Procedures of Pediatric Partners to be updated yearly
• Transfer of Records TO Pediatric Partners for new patients.  State laws vary on fees for transfer of records.  Most allow for free transfer to another physician for medical care continuation.
• Transfer of Records FROM Pediatric Partners for transfer of records to another physician.  We do not charge to send to another physician, but do charge for personal uses.  In Kansas there is a $18.11 labor fee, plus $0.60 per page for the first 250 pages, and $0.43 per page for additional pages.  Kansas charges are based on Kansas Statute No. 65-4971.
• ADHD forms (see Related Documents below)
• School form for allergies (see Related Documents below)
• Asthma Action Plan (see Related Documents below)
• Leaving your child with another guardian temporarily?  See Related Documents below for Consent by Proxy forms