Comprehensive Pediatric Care
Here you will find some of our patient forms and policy agreements. Please PRINT and fill out prior to your appointment. Once you complete them, please either bring them with you to your appointment, email to frontdesk@midpeds.com or fax to 502-244-9575.
SPORTS PHYSICAL PAPERWORK

Forms

Patient Registration Form
General Consent Form
Vaccine Policy
Financial Policy
Patient Health History Form (New Patients Only)
KHSAA Sports Physical Forms (grades 9-12)
KHSAA Sports Physical Forms (grades 6-8)

Helpful Information and Links



American Academy of Pediatrics (AAP) 
National Highway Traffic Safety Administration (NHTSA)- carseat and booster seat information
Tylenol and Motrin Dosing
Product Recalls and Safety Information