Download Forms

Forms to Download and Print

Below you will find the list of important forms which may be downloaded and printed at your convenience.  Forms available for download include: New Patient Forms, Medical Record Forms, and Diagnostic Forms.  Diagnostic Forms should be completed at the request of our staff.  Please follow instructions from your child's health care provider or our staff when completing and submitting diagnostic forms.

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New Patient Forms

We ask that all new patients complete the following New Patient Forms and bring to your first appointment.

These forms require Adobe Reader to download. If you do not have Adobe Reader, you may download it by clicking on link below.

Some documents require Adobe Reader.  Click to download.

If you are transferring to Advanced Pediatrics from another health care provider, please complete the "Authorization to Release Records" form below and give to your child's previous healthcare provider -- so that we may establish a complete medical record for your child. There should be no charge to you for this service if the records are sent directly to our office. Please bring a copy of your child's immunization record to the first visit.

Medical records from your child's previous health care provider should be forwarded to:

Advanced Pediatric Associates
Attn: Medical Records

3300 South Parker Road, Suite 404
Aurora, CO 80014

Fax: 303-766-6903

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Current Patient Forms & Policies

Periodically we ask patients to complete new Patient Registration, Patient Medical History or other forms, so that we can ensure that information is accurate and up-to-date. If you are asked to complete these forms, please download, print, complete, and bring the following form to your visit:

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Medical Records Request Form

If you would like to request a complete copy of your medical records, please download and print the "Authorization to Release Records" form below and mail or fax to:

Advanced Pediatric Associates
Attn: Medical Records
3300 South Parker Road, Suite 404
Aurora, CO 80014

Fax: 303-766-6903

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Diagnostic Forms

Below you will find a number of diagnostic forms that you may be asked to complete prior to a visit with Advanced Pediatrics. These forms may be downloaded, printed, completed, and returned to our office.  Please follow instructions from your child's health care provider or our staff when completing and submitting diagnostic forms.

Child Development
Asthma
ADHD
Behavioral Health

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