Greentree Pediatrics

Forms & Policies

  • If you are visiting our office for the first time, please print out and sign the Child Registration Form, Assignment of Benefits, HIPAA forms, and NJIIS consent.
  • If you would like to participate in the Patient Portal, print and sign the Portal Proxy Consent.
  • If you would like to give permission to have someone other than parents bring in a child, print and sign the Authorization to bring a minor.
  • For patients over the age of 18, please print, fill out and sign the 18 year old letter and Patient authorization.
  • If you are planning to transfer in or out of our office, please print and sign the Record Release form and submit to the practice which currently has your medical records.