REQUEST FOR RECORDS & NOTES

Please complete this form to request immunization records, school notes, health statements, and athletics physicals from the office. Forms can be sent to office@carefirstpediatrics.net for the Doctor and office staff to complete.

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ATHLETICS PHYSICALS:

- If your child was seen for a Well Check in the past year, please download the General Athletics Physical Form, complete the first page, and submit it to our email.

- If your child was not seen for a Well Check in the past year or your school needs a recent physical exam, please request a "Consult" office visit.

 

The parent must complete the parent/student portion for all forms prior to requesting Doctor's completion. Forms may be emailed to office@carefirstpediatrics.net or dropped off at the office. 

Please allow 1 business day for forms to be completed.