Below is a list of downloadable PDF forms. Feel free to fill out any of the forms before your appointment.
Please complete the forms electronically and email them to telemed@fairportpediatrics.com
Phone: (585) 223-6111
Fax: (585) 223-0878
New York State mandates physical examinations for students entering the following grades. Sports, summer camps, and other activities usually require annual physicals. We will complete a physical form for you at the time of your child’s annual physical exam and ask that you keep a copy for your future needs.
Monday – Friday: 8:00 AM – 4:30 PM
Saturday: 8:00 AM – 11:30 AM
Sunday: 9:30 AM – 11:30 AM
Proudly serving patients from Monroe, Wayne and Ontario Counties.
This season, keep your family safe and healthy with the flu and COVID-19 vaccines. Both vaccines are now available at Fairport Pediatrics, and our team is ready to help protect your little ones from seasonal illnesses. Vaccinating early is the best way to ensure your children are shielded from flu and COVID-19. Please contact our office today to schedule your consult!
For new and returning patients, please refer to our updated vaccination policy here!
