Complete Office Forms Online
Save time by completing any necessary forms at your convenience, before your visit. All form submissions are HIPAA-compliant through our secure server.
New Patient Forms
- Please complete the forms below In preparation for your first visit. You will automatically be taken to the next form in the list.
- Patient Demographics
- Health History
- Consent to Treat
- Office Policies
- Vaccine Policy
- Privacy Practices
- Release Medical Records to Fairhope Pediatrics
- Medical/Financial Disclosure
- Credit Card Authorization
Telemedicine Forms
- Please complete the forms below In preparation for your first telemedicine visit. You will automatically be taken to the next form in the list.
- Telemedicine Consent Form
- Credit Card Authorization
Financial Forms
- Forms related to finances or bill payment.
- Credit Card Authorization
Release and Records Forms
- Use these forms to permit the sharing of medical or financial information, or to change the address you have on file.
- Minor Disclosure
- Release Medical Records to Fairhope Pediatrics
- Release Medical Records from Fairhope Pediatrics
- Change of Address
School Forms
- Forms published by Baldwin County Public Schools, available here to download.
- AHSAA Pre-Participation Sports Physical Form
- Activity ToleranceEn Español
- Diet Prescription Form
- Medication Authorization
- Health Services DocumentsAdditional documents and forms