I authorize the persons listed below to bring my child in to Pediatric Professional Association to receive medical attention without my appearance. I understand that medical information about my child may be provided to my caregiver. I may revoke this consent at any time with written notice. I understand this authorization will expire one year from date signed.
Meet Our DoctorsMeet Our StaffOur ServicesInsuranceWell VisitsSick VisitsHospitalsPhoto Gallery
LocationAppointmentsWalk-InsAfter HoursEmergenciesPhone HoursPrescription RefillsBilling and PaymentMedical Records
Patient FormsSecure FormsIs Your Child SickMedical LibraryMedicine DosagesMedical Conditions
Useful LinksPractice NewsAlertsPractice PoliciesVisual Symptom Checker