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Frederick County Pediatrics

Fred Co Kids Forms

The forms below are the most commonly needed and asked for forms for schools and daycare facilities. We’ve posted them here for your convenience. If you need our preliminary forms for a visit, please check our “New Patients” page. If you need a form you do not see on our website, please contact us.

When sending in forms for schools, daycares, camps, or sports, please make sure that your portion of the forms are completed before handing them in.  Also make sure that all parts of the forms are turned in together (this is important for the provider completing the forms).  We ask for 7 to 10 business days to complete all forms.   Note: we assess a $10 processing fee for all forms completed.  We will happily waive the fee if the forms are presented at the well visit.  We cannot complete any forms if your child has not had a well visit with us within the last year.

FredCoKids Forms

Fever & Pain Relief Drug Chart

School & Daycare Forms

Non-Parent / Guardian Medical Treatment Authorization
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