Registration Forms

At Bayside Pediatrics P.C., we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s) and fill in the required information.

  • Fax or email us your completed form(s) or bring them with you to your appointment.

Registration

Please fill out and print both forms prior to coming in

WIC Program

  • WIC (Woman, Infants, Children) Forms

  • DOWNLOAD
  • WIC medical documentation for formula

  • DOWNLOAD

Immigration

  • Medical Form for Immigration Services

  • DOWNLOAD

Forms for School Age Children

  • NYC School Health Form - Required for all new students

  • DOWNLOAD
  • NYC School Medication Administration Form

  • DOWNLOAD
  • Covid Consent Form 12 Years+

  • DOWNLOAD
  • Covid Pediatric Consent 6 months to 11 Years Form

  • DOWNLOAD

Screening for Depression / Behavior

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