West Hartford
(860) 231-8345
Windsor
(860) 285-8251


 

 


About medical forms

All forms will take 1-2 weeks to be completed.

Our practice provides a copy of your child’s visit, at each preventative exam.  Please make a copy/photo for your records.

Each form is reviewed by our staff and providers. It is NOT JUST A SIGNATURE

Our practice has a policy that has been in place since 2013.  There is a $5.00* per form fee. This also includes printing out school forms. We scan them in as a courtesy but we are not required to keep them as part of the medical record.

We appreciate your understanding and advanced planning.  This time of year, can be very busy.  Please allow for this and plan accordingly.

*starting Tuesday September 4, 2018 form fees must be paid AT the time we RECEIVE the form(s).

We will not work on forms until payment is received.  If you wish your form(s) to be mailed out please include a self-addressed stamped envelope.


All  pediatric patients require  a parent or authorized  adult at each and every visit
Our practice requires that patients under the age of 18 years be accompanied by a responsible adult who can communicate with our providers and staff all healthcare concerns.  If you are sending a representative we require the following.  Go to the patients information drop down and select patient forms.  The very first form is you authorizing this person to represent you on the child's behalf.  We also ask that person come with any pertinent health information and questions that you have, as well a telephone number where we may reach you.
Please see the same drop down for forms that you need to fill out for preventative (well) exams.
Please see the services drop down for important information about prescription refills.

 


 

 


Contact Us

At Pedicorp, PC, we encourage you to contact us whenever you have a concern or question related to your care. Please call our West Hartford office at (860) 231-8345 or our Windsor office at (860) 285-8251.

West Hartford Office

Our Locations

West Hartford
345 N. Main St. Ste. 248
West Hartford, CT 06117-2528
Phone: (860) 231-8345
Fax: (860) 523-4061

Windsor
820C Prospect Hill Road
Windsor, CT 06095
Phone: (860) 285-8251
Fax: (860) 687-1774