Forms and Links

Forms

Pediatric Place offers online forms for the convenience of our patients. Please click on the links below to download forms in order to prepare them prior to your visit.

  • New Patient Registration Form
  • Transfer Records to Our Practice
  • Transfer Records to Another Practice
  • OHSAA Health Form
  • HIPPA Form

Links

Pediatric Place offers the following helpful links for your home use and information.

  • Center for Disease Control Click Here>
  • Vaccine Information Sheets Click Here>
  • American Academy of Pediatrics Click Here>
  • Consumer Product Safety Commission Click Here>
  • Poison Center Click Here>

Office Hours

Monday, Tuesday, Thursday, Friday   9:00 to 5:00

216-831-PEDS (7337)

Office Hours & Location>

Did you know…

we do procedures in our office that most other pediatricians won’t?

These include:
● Casts and splints for
   minor breaks and fractures
● Sutures (stitches) for
   lacerations
● IV fluids for dehydration
● Drawing blood
● Giving vaccines

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3690 Orange Place - Suite 100 - Beachwood, Ohio 44122 • 216-831-PEDS (7337)
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