Forms

Welcome! We are thrilled and honored that you have chosen Stapleton Pediatrics to provide healthcare for your child.

We take great pride in offering the highest quality, team oriented and personalized healthcare for newborns, children, and teens. If you haven't already, please contact us to schedule an appointment, and be sure to read about our Care Team Approach. To help expedite your first visit, please print, fill-out and bring the following forms to our office at the time of your appointment.

Family Information Form
Medical Records Release Form
Patient Financial Policy
Privacy Policy

 

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What's New?

  • Accepting New Patients!

    Stapleton Pediatrics is currently accepting new patients. Please contact us to schedule a appointment today!