Pediatric Resources

Below are resources to assist our new patients with any questions they may have. You will also find links to our New Patient Forms.

Complete Your New Patient Forms Online

Register with our Patient Portal and complete your forms online. Once you're registered with our Patient Portal you will be able to receive lab results via secure email, request appointments, send messages to your doctor and much more. CLICK HERE TO GET STARTED!

New Pediatric Patient Forms (Printable)

New Patient Forms Part 1: Pediatric Demographics, Consent, and Policies

New Patient Forms Part 2: Pediatric Health History

Consent to Treat Minor Patient

ADD/ADHD Evaluation Packet for Pediatric Patients

9 Months: Ages and Stages Questionnaire (ASQ-3)

18 Months: Ages and Stages Questionnaire (ASQ-3)

30 Months: Ages and Stages Questionnaire (ASQ-3)

Consent Forms (Printable)

Consent Form For Disclosure of Information for Patients 18 and Over

Wart Information and Consent for Treatment Form

Sports Physical Forms

Austin ISD Physical Examination Form (Printable/Downloadable PDF)

Dripping Springs ISD Physical Examination Form (Printable/Downloadable PDF)

Eanes ISD Physical Examination Form (Printable/Downloadable PDF)

Lake Travis ISD Physical Examination Form (Printable/Downloadable PDF)

Helpful Links

American Childhood Cancer Organization

Child Symptom Checker

Texas Poison Center

Over The Counter Allergy Medication Dosage Information (Printable/Downloadable PDF)

Over The Counter Fever Reducer Dosage Information (Printable/Downloadable PDF)

Fever Myths and Facts (Printable/Downloadable PDF)

Medical Records Request Forms

Request That Your Records Be Sent To PFP Use this form to request that medical records be sent from another doctor's office to Premier Family Physicians

Request That Your Records Be Sent From PFP - Use this form to request to have records sent from Premier Family Physicians to another Doctor/Facility, or to request a copy for yourself

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