Quality Pediatric Care by the Shore

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Patient Info


Welcome to the Middletown Pediatrics Patient Information Center.

In this section are resources which may help make your visit go more smoothly and efficiently.

For new patients there is a New Patient Questionnaire.  Please print it out and complete to bring to your first visit, along with prior medical records.

For our established patients there are copies of forms for a variety of situations including school physicals. Preprinting some of these may be helpful. You will find the “Universal Child Health Care Record” which is used for Kindergarten through Grade 5, and is also used for most pre-schools.  The “Athletic Pre-participation Physical Exam Form, Parts A and B” is for grades 6 and up.  Please be sure to complete Part A prior to your child’s appointment so that we can review your answers.  We must do this prior to our completing part B.

Under the Educational Info menu you will find helpful handouts which have been written by our colleagues at BCD Health Partners. Under the Educational Resources menu you will find may useful sites that we have chosen for you as well.