Registration/Forms

  1. Bayside Pediatrics Registration form ***
  2. HIPPA form ***

WIC Program

  1. WIC (Woman, Infants, Children) Forms  - The New York State Department of Health's Woman, Infants and Children Referral Form
  2. WIC medical documentation for formula - Form for specialty formula through WIC

Immigration 

          1. I693 - Medical form for immigration services  - immigration form 

Forms for school age children

  1. NYC School Health Form - Required for all new students (more information available at NYC.GOV.
  2. NYC School Medication Adminstration Form - Authorization for administration of medication for students (also available in 한글 KoreanChinese and Spanish.)

 

 

                           PHQ-9 Depression Screening - Depression screening 

 

 

***Please note:  If you are a new patient bring in the REGISTRATION and HIPPA forms to expedite your visit***