Housekeeping

Here you will find all of our forms listed individually as well as our policies and procedures. Oh! And a handy resources section too!

Let us know if there’s something you’d like to see listed here.

New Patient Registration
Save time and complete before your visit!
Transfer of Medical Records
Continuity of Care between providers is important, but we need your permission!
PFSH for Birth - 5 years
Patient's Past Medical, Family, Social History - required for ALL Newborns to 5 years.
PFSH 5 Years and Up
Patient's Past Medical, Family, Social History - required for ALL patients 5 years and up
Permission to Treat Patient in Parent Absence
Required for non legal guardian's to bring your child to us
HIPAA Privacy Practices and Consent
Signature required for ALL patients

McDonough Pediatric Policies and Procedures
Please read and sign
Vaccination Policy Acknowledgement
Signature required for ALL Patients
Vaccination and WCC schedule
We follow the AAP Bright Futures Well Check and Vaccine Schedule
Managed Care Patients
Referral Procedures & Rules - please sign
Accepted Insurance
A list of all insurances we take at McDonough Pediatrics
Patient Bill of Rights
Required Reading

RESOURCES

AAP Bright Futures
American Academy of Pediatrics
COVID-19
We follow CDC COVID guidelines - 2024 latest
Georgia Medicaid
Anything and Everything Medicaid GA
Henry County Health Dept
COVID-19 Vaccinations and Testing Kits Available
Henry County Emergency Info
Urgent Care Centers, ERs, 24 Pharmacies in Henry County

McDonough Pediatrics