Forms and Policies

Forms

Meade County Pediatrics uses a highly efficient electronic medical record system.

For your convenience, we also send your prescriptions electronically to your pharmacy of choice while you are in our office.

 

• New Patient Information and Registration
• Notice of Privacy Practices
• Privacy Acknowledgment Statement
• Medical Records Request Form

First Visit

Please review our recommendations for preparing for your first visit.

Policies

At Meade County Pediatrics, we offer comprehensive health care services to infants, children, and adolescents.  To enable a high level of quality service, we have instituted the policies below.  Please feel free to contact us with any questions.  We make it a priority to establish a personal relationship with our patients and their families.

• Financial Policies
• Patient Financial Responsibilities
• Collection Policies

Frequently Asked Questions

Here are answers to many frequently asked questions. You can always call us at 270-422-3400, or wait until you visit to ask questions as well.