Forms and Resources
At Georgetown Pediatrics we strive to be your source for accurate and reliable information. We know that the media and vast internet can be a place for both correct and erroneous information. It can be difficult to differentiate the two, therefore we selected these websites to direct you to sources of sound information.
Patient Forms
Complete Forms Packet
- New Patient Forms Packet (9 pages)
Individual Forms
- Cardiac Risk Assessment
- Consent to Treat
- Notice of Privacy Practices
- New Patient Medical History
- Existing Patient Medical History
- Insurance Verification
- Patient Registration
- Preparticipation Physical Evaluation
- Record Release
Online Resources
Your Well Child
- American Academy of Pediatrics
- Car Seat Safety
- Centers for Disease Control
- Kids Health
- National Women's Health Resource Center
Immunizations
- AAP, Childhood Immunization Support Program
- CDC: Vaccines and Immunizations, Basic and Common Questions
- Every Child by Two
Breastfeeding
Nutrition
Your sick child
- Children's Healthcare of Atlanta
- The Children's Hospital of Philadelphia
- Daily Pollen Counts
- Food Allergies
- HealthyChildren.org
- Poison Control Center
