We are very excited to have you

Join our Parkside Family!

Please complete the appropriate paperwork so we can get you all set up in our system.

If you are expecting, please complete the “Newborn Registration” packet of information. Everything is included for your convenience. Please bring your paperwork along with your driver’s license and insurance card to your first visit.

If you are transferring from another practice, please complete one “Family Registration” packet and one “Child Information” packet for each child transferring to Parkside. In order to facilitate the transfer of records, please mail or drop off the registration paperwork to our office at your earliest convenience. We will need this information and records before scheduling any well visits.

Welcome to the Parkside family!

 Forms

Newborn Registration

Newborn Registration

If you are expecting or have just delivered, these are all the forms you need for your first visit.

Child Information

Child Information

Please complete one set of child forms for EACH child you would like to register as a new patient at Parkside (except newborns, for which you should only complete the Newborn Registration Forms). In addition, please complete one copy of the Family Registration Forms.

Family Registration

Family Registration

These forms only need to be completed once for the entire family. Please fill them out online and print them to bring in to our office. We will also need one completed set of child registration forms for EACH child you would like to transfer to Parkside.

Additional Forms for Your Convenience

ADHD

Vanderbilt Teacher

Vanderbilt Parent

ADHD Self Management Tool

ADHD Appointment Check Up

ADHD Treatment Contract

ADHD Self Care Plan

Allergies

Self Admin Authorization Form

Asthma

Asthma Action Plan 

School

Prescription Authorization

Travel

Travel Care Authorization

Fluoride Varnish

Fluoride Varnish Handout

 

Local Resources for your Convenience

Counseling Services in the Upstate

Nutrition and Fitness – Community Resources

Pediatric Dentists in the Upstate

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