Flu Clinic Update:
The Flu Clinic will remain open on Monday and Wednesday mornings until the end of Flu season. The Wednesday and Thursday Evening clinics will run until December 23rd. The last Saturday Clinics available are 12/7 and 12/14. Starting Jan 2, 2020 patients can also get their flu shots during our regular shot clinic hours on Tues, Wed and Thurs From 1:30 pm - 4:00 PM.
Don't forget to pre-register at piedmontpediatrics.org/flu
Prior to your first visit, please print and fill out a copy of our new patient form and bring it with you to the office. It is also very helpful to have a current copy of the child’s immunizations and growth chart.
Copies of your child’s records can only be requested by you. We have a request for transfer of records form which you may print and sign and mail to your previous pediatrician.
Asthma Control Test Ages 4 to 11 years of AgeThis form is for children between 4 and 11 years of age.
Asthma Control Test Ages 12 years and OlderThis form is for children 12 years of age and older.
Advance Beneficiary Notice of Noncovered Services
Allergy Immunotherapy Informed Consent Form
Allergy Patient History Questionnaire
Allergy Serum Mixing Consent Form