|
| |
|
Cold and flu season is just around the corner.
Flu vaccines help keep children healthy and in school.
And you won't miss as much work, either!
Call now to make an appointment for your child to receive either the FluZone
shot or the FluMist spray.
Save time! Before you go to the appointment: download, print and fill out
the top part of the
required parental consent and questionnaire. For children receiving FluZone (shot), click here.
For children receiving FluMist (spray), click
here. Bring the
completed form with you when you bring your children in for their vaccine.
 |
Do You Have a Question For
the Nurses?
Fill out a Nurse Inquiry Form online,
print it out, and fax it to us.
Someone will respond within 24 hours.
The Nurse Inquiry Form may be found
here.
For Established Patient Use Only
NOT FOR EMERGENCIES
|
 |
Cottonwood Pediatrics
welcomes new patients!
|
New Patient Forms
We have some forms you
can fill out online, then print, sign and
bring with you to your child's first
appointment. Filling these out before your
child's first appointment will save you time
and make things run more smoothly.
New patient forms may be
found
here.
Transfer/Release Medical Records
If your child previously received care from another
provider at another clinic or office, his/her records are not
automatically transferred to our office. If you wish to have records
transferred from another office, we have a release prepared that can be
used. You should fill this out and ask to have the files transferred to
our office before your child's appointment at Cottonwood Pediatrics.
This form can also be
used to authorize Cottonwood Pediatrics to
release your child's records to another
health care provider.
You
may download the release form by clicking
here, fill it out and take or mail it to
your child's previous health care provider. Some health care providers
may charge for this service. If you are transferring records from Cottonwood
to another provider, you may download and fill out the form and then bring
it in to Cottonwood Pediatrics. |
|
The "Step-parent" Consent |
The "Grandma" Consent |
The "Teenager" Consent |
|
Many of our patients are
members of blended families. We
recognize that non-biological parents may
bring children to appointments at our
office, and adding this permission to our
records will make appointments and
billing go more smoothly.
This
consent can remain in effect until the child
is 18 or may be given for a specific length
of time.
Download this
Consent to Treat by clicking
here.
Fill it out and mail or fax
to our office at 316-283-7118 BEFORE your
child's appointment to avoid any delays in
treatment.
|
Is grandma bringing your
child to an appointment while you are at
work? You may give any caregiver permission to have your
child seen at our office.
This
consent can remain in effect until the child
is 18 or may be given for a specific length
of time.
Download this
Consent to Treat by clicking
here.
Fill it out and mail or fax
to our office at 316-283-7118 BEFORE your
child's appointment to avoid any delays in
treatment.
|
If your child is at least
16, he/she may consent to his/her own
treatment. You can send your child to the clinic for routine treatments
and exams without you.
This consent
can remain in effect until your child is 18
or may be given for a specific length of
time.
Download this Consent to Treat by clicking
here.
Fill it out and mail or fax to our
office at 316-283-7118 BEFORE your child's
appointment to avoid any delays in
treatment.
|
Downloading these forms requires you to have Adobe Reader. If you do
not have Adobe Reader, click on the icon to the right to download this
free program. 
|
|
Did You Know. . .?
Pointers for Parents
HealthyChildren.org is a
great online resource for parents. There are sections on "Ages and
Stages," "Healthy Living," "Safety and Prevention," "Family Life," "Health
Issues," "News" and "Tips and Tools." There's even a free Healthy Children
magazine you can download!
On our Library page, you'll find lots of
easy-to-read and download information about safety, illnesses, child
development and parenting tips, as well as links to websites for parents,
children and teens. Check it out!
|
|
|
