ATTENTION: IF PARENT OR GUARDIAN IS NOT BRINGING CHILD TO THE APPOINTMENT, WE NEED WRITTEN CONSENT PRIOR TO THE APPOINTMENT.
- Person bringing child must be 18 years of age or older.
- Must bring ID and the permission letter provided by the parent or guardian of the child.
DOWNLOADS
It is not required to print paperwork to bring to the office. Please bring insurance card(s) and parent photo ID to every appointment.
HIPPA NOTICE
Updated: 1-Sep-2014
Download form
Download form
OCPA PATIENT FORMS
Updated: 16-October-2020
Dr. Kumar
Dr. Walters
Dr. Kumar
Dr. Walters
MEDICAL RECORD RELEASE FORMS
Updated: 16-October-2020
Release to OCPA
Release from OCPA
SURGERY PATIENTS
- You will receive a phone call the day before the surgery to give exact arrival time.
- Child cannot have anything to eat or drink after midnight, surgery may be cancelled otherwise.