New Patient Registration

Academy Park Pediatric and Adolescent Medicine

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Below you will find all of our new patient forms you can print and fill out at home. By filling them out at home and bringing them with you the day of your appointment you can save yourself time in the office.

Click here to download and print NEW PATIENT REGISTRATION FORM

Click here to download and print NEW PATIENT HISTORY FORMS

Click here to download and print PATIENT'S RIGHTS AND RESPONISBILITIES

Click here to download and print IMPORTANT MESSAGE TO PARENTS OF NEWBORNS

Click here to download and print OUTGOING RECORDS TRANSFER FORM

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Academy Park Pediatrics
Lakewood (303) 988-5252
Highlands Ranch (303)996-0730