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
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.