Welcome to Dickerson Pediatrics, P.A.! We are glad you've chosen our office for your child's pediatric care. Our staff will strive to give your child a friendly and comfort place to receive there medical treatment. To ensure that your visit to our office is as convenient and efficient as possible, we are excited that now have our forms online. Please take a few minutes to print and complete the necessary documents before your next visit.

	New Patient Packet
	Office Financial Policy
	Immunization Policy
	Well Exam Facts
	Release of Medical Information Form
	Authorization/Disclosure Form
	Sports Physical Form
	Notice of Privacy Practices

For your ADHD Appointments:

	ADHD Parent Packet
	ADHD Teacher Packet

It is necessary that you return these forms to our office at least 1 week prior to your appointment time. In addition, please include any other evaluations, school work, handwriting samples, report cards, grades and/or related material for our review 1 week prior to your appointment.