For your convenience, Piga Primary Care Associates have provided the following forms to save you time on your first appointment, and so that the doctor can see your child more quickly. If your child is already a patient, please let us know if any of your information has changed.
The following forms are editable PDFs. Each form can be downloaded, completed and either emailed back to our office or printed. If printed, please bring the completed form when you come in to our office for your appointment.
For parents to authorize another adult (more than 18 years old) to bring a child in for an appointment and authorize treatment (for example: grandparents, nanny, babysitter, adult sibling, aunt, etc).
For patients transferring medical records to our practice.
For patients transferring medical records out.