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- Your Medical Home for Exceptional Pediatric Care
Welcome to the Healthy Kids Pediatrics Patient Information Center.
In this section are resources which may help make your visit go more smoothly and efficiently.
For new patients, there is information about our practice which can be printed out and brought with you at your first visit.
For our established patients, there are copies of forms for a variety of situations including school physicals. Preprinting some of these may be helpful.
Bear in mind that we give you a copy of your child’s Universal Child Health Care Record or part B of the Athletic Pre-Participation Physical Examination Form which have been preprinted with much of your information, at every physical exam.
Under the Educational Info menu, you will find helpful information which has been written by the the HKP Team. Under the Educational Resources menu, you will find many useful sites that we have chosen for you as well.
New Patients
Information for New and Prospective Patients is outlined below.
Brochures
New Patient Packet
The new patient packet includes the following information. Please print out and complete these forms prior to arrival
- Newborn History Form
- Newborn Insurance Form
- Family Information Sheet
- Insurance Information Form
- Financial Policy Acknowledgement Form and Waiver
- HIPAA Policy Acknowledgement Form
- AI Scribe Consent Form
- Right to an Observer During Exam Notice
** Please do not sign this form until you have read all the sections of the Financial Policy above.
Current Patients
School Forms
- The NJ Universal Child Health Care Record will be provided for Grades K through 5 .
- NJ Athletic Pre-Participation Physical Examination, History Form
Please print out and complete this History form before you bring your child for a physical exam. The Physical and Eligibility Forms will be provided. - The New York Health Certificate and Appraisal will be provided. Most NYS schools accept the NJ form, but you may bring this if yours does not.
Prior to your first visit, we would like you to complete new patient forms so that we may obtain all previous records you or your child may have.
Prior to your first visit, we would like you to complete new patient forms so that we may obtain all previous records you or your child may have. Should you have any questions about this process, please contact the office at 844-437-5455. It would be helpful if you downloaded and filled out the packet below.