Forms and Policies

Las Vegas Pediatricians - VIP Club Las Vegas Pediatric OfficeFor your convenience prior to visiting our office, print all necessary forms on our Office Forms and Policies page. Complete the information and bring it with you to your first visit.

In English

PRIVACY NOTICE - Download
PATIENT INFORMATION - Download
NEW PATIENT (0-1 YEARS OLD) - Download
NEW PATIENT (1-18 YEARS OLD) - Download
CIRCUMCISION - DownloadLas Vegas Pediatricians - Testimonials for Las Vegas Pediatric Office
WELL CHECK - Download

In Spanish

AVISO SOBRE NORMAS DE PRIVACIDAD - Download
FORMULARIO DE INFORMACION (DE RECIEN NACIDO A 1 AÑO DE EDAD) -Download
FORMULARIO DE INFORMACION PARA NUEVOS PACIENTES (DE 1 A 18 AÑOS DE EDAD) - Download
CONSENTIMIENTO Y AUTORIZACION PARA LA CIRCUNCISION - Download
REVISION MÉDICA (EXAMEN DE SALUD) APERCIBIMIENTO - DownloadLas Vegas Pediatricians - Testimonials for Las Vegas Pediatric Office

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