Forms & Policies

Welcome to Riverside Pediatric Group! We are delighted to welcome you to the Riverside family. Please find set out below our New Patient Registration Package and our Record Release Forms.

Co-pay Policy

All co-pays must be collected at the time of service. This applies to all visits (incuding visits relating to follow-up sick visits, lab result review visits and chronic medication refills).

New Patient Registration Package

Please bring the following completed forms with you on your first visit:

1. Click here for New Patient Registration Forms - All New Patients (including Newborns)
2. Click here for Newborn Registration Form - Only Newborns
3. Click here for Notice of Privacy Practices

Record Release Form

Click here for a copy of our Record Release Form. If your records are at a different practice and you would like to join Riverside Pediatrics, please complete this form and send it to the Office Manager at the office that you visit.