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Care of Your Newborn
Common Questions From Parents
Forms & Policies
Advocare Parsippany Pediatrics forms are listed below and can be printed for your convenience.
For your first visit, any New Patient Forms may be completed in advance and brought to the office. This will save you time while in the office.
All new patients (if under the age of 18) need to be accompanied by a parent or legal guardian* for the initial visit in our office.
*Note: A legal guardian must have court-documents supporting guardianship at the time of this visit.
Annual Patient Packet Forms
Child Registration Form
Advocare Adult Patient Registration
Advocare Annual Consent, Disclosure & Authorization
Advocare Payment Policy & Practice Philosophy
Advocare Notice of Privacy Practices
Patient Facing Forms
Advocare Authorization to Bring a Minor
Advocare Newborn Insurance Reminder
ABN – Advanced Beneficiary Notice of Noncoverage (Medicare only) - English
ABN – Advanced Beneficiary Notice of Noncoverage (Medicare only) - Spanish
Advocare Authorization for Use & Disclosure of Protected Health Information
Advocare Informed Consent for Surgical Procedure or Invasive Treatment Procedure
Advocare Patient Financial Responsibility
(Complete for 18 and 24 month well checks.)
ADHD Vanderbilt Assessments
Vanderbilt Assessment Scale - PARENT Form
Vanderbilt Assessment Follow Up - PARENT Form
Vanderbilt Assessment Scale - TEACHER Form
Vanderbilt Assessment Follow Up TEACHER Form
Edinburgh Postnatal Depression Scale
Health History Form
18 Year Old Letter
NJ Athletic Pre-Participation Physical Examination Form
ASQ 30 month old Developmental Skills Questionnaire
Developmental Skills Questionnaire for Parents of 30 month olds
- Autistic Spectrum Disorders
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