Patient Forms

These forms are provided for your convenience and can be completed in our office or at home in advance of your child's appointment. For new patient enrollment, we require the New Patient Registration Packet and Co-Parenting Policy (if applicable) to be completed.

 Form Icon   New Patient Registration Packet
Form Icon   HIPAA Form
Form Icon   Co-Parenting Policy
icon forms   Established Patient Update Sheet
 Form Icon   Kansas State High School Activity Association Participation Form
 Form Icon    ADHD/ADD Vanderbilt Assessment Form (Parent)
 Form Icon   ADHD/ADD Vanderbilt Assessment Form (Teacher) 
Form Icon   Transferring to Our Office
Form Icon   Transferring from Our Office
Form Icon  

Controlled Substance Agreement

Lawrence Pediatrics, PA
3310 Clinton Parkway Ct
Lawrence, KS 66047

Phone: 785.856.9090
Fax: 785.856.9093

Our Hours
Monday thru Friday:
8am to 5pm
*Closed from 12:00-1:30

After Hours Information

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