Forms and Resources
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
Individual Forms
- Consent to Treat
- Notice of Privacy Practices
- HIPAA Privacy Notice
- Insurance Verification
- Preparticipation Physical Evaluation
- Records Release from GTP to New Provider
- Records Release from Previous Provider to GTP
- ADHD Follow-up Letter
- Registration Form
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