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Services

Pediatric Forms

All download forms may be emailed to admin@hopeharborpc.com or fax your forms to (251) 724-3025

Records Request Form

If your child had a previous doctor, please click download and fill out the Release Form to request your child's health records.

If you are unable to complete the new patient forms online, please click below to download and bring the completed New Patient Packet to your office visit.

New Patient Packet

Please fill out the Child's History Form to let us know what health issues your child has had.

Child's History

Please read our new patient letter. We are very excited for you and your child to experience Hope Harbor PC.

New Patient Welcome
Letter

Please read over our vaccination policy and visit our Immunization page learn when vaccinations are recommended.

Vaccine Policy

We value your trust. Please take a moment to read our Privacy Policy to understand how we collect, use, and protect your information.

Privacy Policy

Please fill out this form to authorize us to speak with your designated adult representative and update your emergency contacts.

Designation Of Authorized Adult Representative(s)  and Emergency Contacts 

If your child plays sports and need a Physical Evaluation Form, please click download and bring this form with you.

Physical Evaluation Form

Babies in Playroom

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