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(859) 277-6102
Patient Forms

Save time by completing required patient forms before you arrive.

Pediatric & Adolescent Associates is dedicated to providing the best pediatric care for your child and making it as easy as possible on you.

Below you will find many forms that are needed for your child’s appointments. We have divided them into sections to help make it simple for you. If you'd like, you may fill them out beforehand and bring them to your child's appointment in order to expedite the check-in process.


* NEW* These forms you are able to fill out online and submit!  



With 15 pediatricians on staff, our team of doctors work diligently to provide the children of  Central Kentucky and the surrounding areas with the most up-to-date, evidence-based care available. With 2 locations, Pediatric & Adolescent Associates works hard to make great pediatric care available when you need it most. 

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.