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
• Over the Counter Medication Prescriptions
• Social Media Site Policy
• Missed Appointments and Winter Weather Policy

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 $18.40 labor fee, plus $0.61 per page for the first 250 pages, and $0.44 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