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Cottonwood Pediatrics
welcomes new patients!
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Transfer Medical Records |
The "Grandma" Consent |
The "Teenager" Consent |
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Your child may have previously received care from another
provider at another clinic or office. These records are not
automatically transferred to our office. If you wish to have records
transferred from another office, we have a release prepared that can be
used.
You
may download the release form by clicking
here, fill it out and take or mail it to
your child's previous health care provider. Some health care providers
may charge for this service. |
Is grandma bringing your
child to an appointment while you are at
work? You may give a caregiver permission to have your
child seen at our office.
This
permission can be given for up to a year at
a time.
Download this
Temporary Consent to Treat by clicking
here.
Fill it out and mail or fax
to our office at 316-283-7118 BEFORE your
child's appointment to avoid any delays in
treatment.
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If your child is at least
16, he/she may consent to his/her own
treatment. You can send your child to the clinic for routine treatments
and exams without you.
This consent
must be renewed each year.
Download this Annual
Consent to Treat by clicking
here.
Fill it out and mail or fax to our
office at 316-283-7118 BEFORE your child's
appointment to avoid any delays in
treatment.
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Downloading these forms requires you to have Adobe Reader. If you do
not have Adobe Reader, click on the icon to the right to download this
free program. 
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Did You Know. . .?
Pointers for Parents
HealthyChildren.org is a
great online resource for parents. There are sections on "Ages and
Stages," "Healthy Living," "Safety and Prevention," "Family Life," "Health
Issues," "News" and "Tips and Tools." There's even a free Healthy Children
magazine you can download!
On our Library page, you'll find lots of
easy-to-read and download information about safety, illnesses, child
development and parenting tips, as well as links to websites for parents,
children and teens. Check it out!
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