Patient Forms

North Point Pediatrics offers online access to patient forms in order to help our patients save time by filling out forms before their office visits.

Complete Forms Packet

Please choose the forms packet that is appropriate for your child.

Medical Records Release Form - May be faxed to #678-336-1411 or sent via Email ppatel@northpointpediatrics.net (DO NOT SEND MEDICAL RECORDS VIA EMAIL)

When requesting your child(ren)'s medical records to be transferred to another physicians office, please be advised that the required time needed to complete your request is 2 weeks. In the event you are requesting copies of the medical records yourself, there will be a $25 fee per child in accordance with Georgia Statute 31-33-3. We will make every effort to complete your request in the shortest time possible.

Preparticipation Forms

Preparticipation Physical Evaluation Form

Forms Policy

Due to the overwhelming demand for physical, immunization forms, etc., we ask that you give at least 5 to 7 business days advance notice to prepare the forms. We will do our best to get your information to you as soon as possible. Thank you for understanding.

Once completed, we can have the forms available for you to pick up at the office, we can upload them to your child's portal or we can return the forms to you by mail or by fax.

The following forms require a payment of $10 per form at the time of the request. You do have the option to have the form expedited for a fee of $25 We will get you the form within 2 business days.