Pediatric Associates of Kershaw County
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  • Our Doctors & Staff
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    • Forms and Info
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Forms and Info

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New Patient Forms:

Here are some forms you will need to fill out when you visit for the first time. You can save time by printing and completing these ahead of time.

  • Complete New Patient Packet
  • Patient Registration Form
  • Patient History Form
  • Family History Questionnaire

General Info/Policies:

  • Office Policies
  • Notice of Privacy Practices
  • Vaccine Policy
  • SRS Communicator Guide for Patients v9_1.4.17

ADHD Forms:

  • Parent Vanderbilt Follow-up Form
  • Teacher Vanderbilt Follow-up form
  • Parent Initial (First) Vanderbilt Form
  • Teacher Initial (First) Vanderbilt Form
Copyright © Pediatric Associates of Kershaw County - site maintained by dtmp
  • Home
  • About Us
  • Our Doctors & Staff
  • Forms & Info
    • Contacts
    • Billing & Insurance
    • Forms and Info
    • Resources
    • Visit our Facebook Page
  • Patient Portal Login