Thank you for choosing Castle Rock Pediatrics as your child’s medical home, where we always provide a comfortable, caring environment so our patients and their families can feel at ease. We’ve included helpful items on this page to ensure you and your child’s first trip to our office is productive, stress-free and enjoyable.
We are happy to provide various office forms for convenient download on your home computer. New patients, please print and complete the appropriate new patient forms below, and bring them with you to your child’s first appointment.
If a provider, or if while scheduling your appointment an office staff member instructs you to complete one of our other forms below, please do so and bring them to your next office visit.
Questions about which forms you need? Please call our office and our courteous staff will assist you in preparing for your child’s first visit.
- Patient Demographic Form
- Patient Insurance Information
- Policy Summary
- Parental Authorization for Medical Care
- Records Release to Castle Rock Pediatrics
- Records Relase Request From Castle Rock Pediatrics
- Notice of Privacy and Practices [English]
- Notice of Privacy and Practices [Spanish]
- Sports Questionnaire
- Transparency In Healthcare
- Electronic Communication (page 1)
- Electronic Communication (page 2)
- Acknowledgement of Receipt of Notice