Schedule Your Child's Flu Shot
Schedule Your Childs Sports Physical Physician holding a stethoscope Medical history document

The staff at Teays Pediatrics PLLC knows how busy families can be

We have compiled important information and prepared printable forms for you so you can arrive ready for your appointment and avoid long waits while paperwork is filled out. If you have any questions that are not answered here, feel free to call us.


Patient forms:

Patient Information Form

Referral/Thank You Form

Release of Medical Information From Form

Release of Medical Information To Form


Don't wait longer than you need to during your appointment. Fill out the necessary forms today and save time later.

See how we can help you

Most insurance accepted. Call today for further information.


We are accepting new patients, so schedule an appointment today to see how we can service your child's health care. We strive to give you the best possible medical care your child can receive.

Fill out a few brief forms before your appointment

Speed up your child's doctor visit by printing and filling out the forms below.

Learn more about our pediatric services, and fill out any necessary paperwork you need to before coming to your appointment. We even have financing information for you. Contact us with further inquiries. We are accepting new patients!

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