Find Us on Facebook
  • Cumming Location
  • Make a Payment

News

  • July 4th Holiday HoursIn observance of July 4th holiday, we will be closed on...Read Full Story
  • Phreesia Automated Patient Intake SolutionStarting June 9, 2020. We have some exciting news that will enhance...Read Full Story
  • COVID-19 and Appointments with our officesGeorgetown Pediatrics, PC want to assure our patients during the Coronavirus...Read Full Story
  • New 11th Grade Immunization RequirementEffective July 1, 2020, the State of Georgia has mandated that...Read Full Story
  • A Note For Our Patients About Coronavirus To Our Georgetown Pediatric, PC Families The wellbeing of our patients and...Read Full Story
  • Coronavirus (COVID-19) FAQsGeorgetown Pediatrics, PC is committed to the well-being of all children...Read Full Story
  • Flu Vaccines 2019-2020We are happy to announce that we have received our influenza...Read Full Story
  • Voluntary Worldwide Recall of EpiPen and EpiPen Jr Auto-InjectorThe U.S. Food and Drug Administration (FDA) is alerting consumers to...Read Full Story
  • Zika VirusZika Virus – Do I need to be worried? Zika virus belongs...Read Full Story
  • Enterovirus D68What You Should Know About Enterovirus D68 Enterovirus D68 belongs to a...Read Full Story
  • Cholesterol FAQs What is cholesterol? Cholesterol is a lipid or fat in the...Read Full Story
  • HPV - WhatEver since the introduction of the Human Papillomavirus (HPV) vaccine, parents...Read Full Story
  • New Flexible Office HoursWe are excited to offer our patients new office hours beginning...Read Full Story
  • Coxsackie! What's that?Hand, foot and mouth disease is a very common illness, which...Read Full Story
  • Flu Facts and Fiction We are committed to providing the most current and reliable information...Read Full Story
  • Are You Heart Healthy? Children with a healthy lifestyle grow up to be adults with...Read Full Story
  • Not a laughing matterHelium is an asphyxiant. That is, when it is inhaled...Read Full Story
  • Georgetown Pediatrics Policy updatesFamilies of Georgetown Pediatrics patients please note: As...Read Full Story
  • Fever Fears DID YOU KNOW... ...that a fever is generally a good thing? ...Read Full Story
  • Expectantly expecting... Meet the pediatricians and join us for a discussion on delivery...Read Full Story
Patient Portal

More Information

  • Home Page
  • About Us
  • Your Care
  • Our Providers
  • For Parents
  • Become Our Patient
  • Teen Center
  • Forms and Resources
  • Insurance
  • Locations
  • Contact Us
  • Patient Portal
  • News
  • Privacy Policy
  • Sitemap

Forms and Resources

At Georgetown Pediatrics we strive to be your source for accurate and reliable information. We know that the media and vast internet can be a place for both correct and erroneous information. It can be difficult to differentiate the two, therefore we selected these websites to direct you to sources of sound information.

Patient Forms

Patient FormsComplete Forms Packet

  • New Patient Forms Packet (9 pages)

Individual Forms

  • Cardiac Risk Assessment
  • Consent to Treat
  • Notice of Privacy Practices
  • New Patient Medical History
  • Existing Patient Medical History
  • Insurance Verification
  • Patient Registration
  • Preparticipation Physical Evaluation
  • Record Release

 

Online Resources

Your Well Child

  • American Academy of Pediatrics
  • Car Seat Safety
  • Centers for Disease Control
  • Kids Health
  • National Women's Health Resource Center

Immunizations

  • AAP, Childhood Immunization Support Program
  • CDC: Vaccines and Immunizations, Basic and Common Questions
  • Every Child by Two

Breastfeeding

  • The Bump
  • Medela

Nutrition

  • My Family Health Spot
  • United States Department of Agriculture

Your sick child

  • Children's Healthcare of Atlanta
  • The Children's Hospital of Philadelphia
  • Daily Pollen Counts
  • Food Allergies
  • HealthyChildren.org
  • Poison Control Center

Product recalls

  • U.S. Consumer Product Safety Commission

Cumming
416 Pirkle Ferry Rd, Ste J300
Cumming, GA 30040
(770) 889-9142

Click here for Google Map

© 2021 Georgetown Pediatrics. Medical Website Design by Medical Management Associates.