Forms
New Patient Forms
Advocare West Deptford Pediatrics' forms are listed below and can be printed for your convenience.
The Patient Registration Form and the HIPAA Acknowledgement Form may be completed in advance and brought to the office during your first visit. This will save you time by not having to complete these forms while in the office.
- New Patient Welcome Letter
- Advocare Practice Philosophy
- Office Policies and Procedures Handout
- Patient Registration Form
- Advocare Payment Policy
- Guide To Understanding Your Advocare Statement
- Notice of Privacy Practices
- HIPAA Acknowledgement Form
- Newborn Insurance Reminder
Developmental and Behavioral Screening Tools
- Instructional letter to parents – Please read prior to visiting CHADIS.com for the first time. This letter contains important information related to the screening tools.
- CHADIS.com – Please complete the questionnaire prior to all well-child visits or ADHD/Development/Behavior follow-up visits beginning at two months of age.
Additional Forms
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