welcome to form central!
Below you will find our standard registration and release of medical records forms.
If the form you need completed for your child is not listed below, let us know! We have most forms required for schools and daycares, but are happy to complete forms that you provide to us.
Plan ahead and bring the form with you to your child's well visit or call us in advance to see if it is one we have on hand!
A few things to keep in mind:
- Please allow 24-48 hours for us to complete your form request. On occasion, it may take longer if your provider is not in the office. We aim for a speedy turn around and appreciate your patience!
- Parents are required to complete the "parent sections" of forms regarding patient demographic data, insurance, etc. Our nursing staff and providers will take care of the "medical sections."
- Completed forms may be picked up in person (valid photo ID required), sent via the patient portal, or snail-mailed. We are not able to email forms, nor are we able to fax them to schools or daycares.
*Pro-Tip from a BloomingtonPeds Nurse-Mom: Make a copy of your completed form for your own personal file, so if "Coach" misplaces it, you have a backup copy on hand and don't have to wait for a new one! You can also ask for your completed form to be sent through the patient portal so you may print a new copy as needed.
