We've been coming here for 19 years with our 3 kids. The doctors, nurses and staff are amazing! A special shout out to Dr. Thomas Heaphy for all the care provided over the years.
Inga
Patient Forms
Patient Forms
New patients are required to fill out the New Intake Form, Card on File Policy and Consent to Treat before the first visit. These can be emailed to frontoffice@ppadocs.com or brought to your appointment.
If you need Medical Records, the law requires a Release of Medical Information form to be filled out and signed by a parent or guardian. This is required for all medical records, charges may apply. Medical Records Release may take up to 14 business days to complete once a valid request is received by our office.
Physical Forms
Health forms that need to be completed outside of your child's well visit will incur a fee, depending on the processing time. Please note that we do not accept blank forms. Any questions required to be answered by the parent must be completed before the form is sent to the physician.
- No-Rush health forms are $10 each and will be processed within 4-7 business days.
- Rush health forms are $20 each and will be processed within 2-3 business days.
- For complex forms, such as FMLA paperwork, a $25 fee will apply, and forms will be processed within 14 business days.
Health forms will only be completed for patients with accounts in good standing. If your account is delinquent, it must be resolved before we can process your forms. Please call the business office if you have any questions.