Pediatric Associates of Cincinnati

Downloadable Forms and Materials

Pediatric Associates of Cincinnati is pleased to present the following commonly used health forms. These forms may be downloaded and completed before a patient is seen by our staff, saving everyone time in the office.

These forms are available in PDF format and require a PDF reader, such as Adobe Acrobat, to open and print the files.

• Ohio Sports Physical Form (Ohio High School Athletic Association Pre-Participation Physical Evaluation Form)
• Ohio School Immunization Requirements
• Ohio Immunization Exemption Form
• Child Medical Statement for Child Care Centers (from Ohio Department of Job and Family Services)
• Request for Administration of Medication for Child Care Center (from Ohio Department of Job and Family Services)
• Pediatric Associates of Cincinnati Financial Policy (Effective January 1, 2010)