Pediatric Care of York, P.C.
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forms & policies
Practice Forms

Quickly and conveniently obtain forms from our office. To view the forms listed below, you will need Adobe Reader. You may bring or mail your completed forms to the office at the time of your visit.

You may download Adobe Reader for free at www.adobe.com

We are happy to complete forms for your child as long as they had a well visit within the past year. Unfortunately, we cannot complete forms based on a physical done outside of our office. You must have the parent portion of the form completed before dropping off or mailing the form. We require at least 48 hours to complete the form. If the form is needed in less than 48 hours, there is a $10 charge. These forms include:

  • Daycare Forms
  • School Forms
  • College Forms
  • Sport Forms
  • Camp Forms
  • Work Permits

*Sports forms also require an Interval Sports Participation Questionnaire be completed. This form is available for download on this site.
**The parent portion and the employer portion of Work permits must be completed before the physician will sign them.

Policies - Frequently Asked Questions

Click to view answers to frequently asked questions regarding our policies.