forms twincity pediatrics


Welcome to our Forms and Documents Page for your kids' medical visit! Here you will find printable versions of forms you can fill out in advance of your pediatric doctor visit. If your child has a Well Child Check coming up, check your MyChart account for an electronic version of the questions to answer and send back to us before your visit!

Twin City Pediatrics Forms Policy

(school physicals, sports forms, daycare forms, etc.)

- Forms brought on same day of appointment will be completed that day free of charge

- Forms brought without a corresponding appt that day will be completed within 5-7 days for a $5.00 charge per child (multiple forms per child completed at the same time all for $5, with a $25 per family cap). If they bring forms in at another date later there will be additional fees

- Forms needed same day (or anytime less than 5 days) will be completed for additional charge of $25 (by 5:30pm that day)

For Parents of New Patients...

Welcome to Twin City Pediatrics! We invite you to print and fill out our New Patient Forms and bring them with you to your first visit!

ADHD - Initial Forms

ADHD - Follow Up Forms

School/Parent Consent Forms

Behavior Forms

New Patient Forms


ADHD parent letter