Completing the necessary medical practice forms, (i.e. medical history, patient information, financial forms) prior to your child's appointment can be a challenge, especially if when you are also watching your child, our patient.
To expedite your visit and make it more convenient, Decatur Pediatric Group has made several of our practice forms available for download. We recommend parents download and complete these forms in the convenience of your home and bring them with you to your child's appointment.
Medical Practice Forms - English
- Financial Responsibility Form
- HIPAA Notice of Privacy Practices
- Acknowledgement Receipt of HIPAA Notice of Privacy Practices
- Temporary Authorization for Medical Treatment of a Minor
- Decatur Pediatric Group Scholarship Application
- Children's Health Plan Application
- Help a Child Smile Enrollment Form - English and Spanish
- Medical Records Release Form