Escuela, Campamento, Formularios de Guardería

Formas: escuela, campamento o guardería

Pediatric Associates of Alexandria ha hecho que nuestros formularios de escuela, campamento y guardería sean un proceso completamente electrónico para nuestros pacientes a través de DocuSign. DocuSign es seguro y cumple con HIPAA. Cuando se complete el formulario, se le enviará directamente por correo electrónico. Este proceso permite un envío más fácil, una finalización más fácil y un seguimiento confiable de sus formularios. DocuSign también le permitirá elegir entre muchos idiomas diferentes en la configuración de DocuSign.

Tenga en cuenta que si envía varios formularios para un niño o para varios niños, es posible que los reciba en momentos distintos o incluso en días distintos. Todos sus formularios están en la cola para ser completados.

• Tarifa estándar (entrega en 7 días hábiles): $15 por formulario*

• Tarifa acelerada (entrega en 1 día hábil): $50 por formulario*

• Gratuito cuando se trae a las citas de control de salud

* El día hábil no incluye sábado, domingo, cierre de la oficina debido a circunstancias imprevistas (ejemplo: mal tiempo) y días festivos cuando la oficina está cerrada (Año Nuevo, Día de los Caídos, Día de la Independencia, Día del Trabajo, Acción de Gracias y Navidad).

Ejemplo: si se envía un formulario acelerado a nuestra oficina un viernes a las 5:30 p. m., se completará al final del día hábil de PAA el lunes, siempre que el lunes no sea feriado o esté cerrado por otros motivos mencionados anteriormente.

La tarifa del formulario se cobrará en línea antes de enviarlo a la oficina.

Direcciones

1. Desplácese por la lista de formularios a continuación. También puede obtener una vista previa del formulario para ver si es el correcto que solicita su escuela, campamento o guardería. PAA ha actualizado nuestra lista de formularios, revísela por completo antes de hacer una selección. PAA no es responsable si se envía el formulario incorrecto.

2. ¿No ve el formulario que necesita? Desplácese hasta la parte inferior para encontrar "¿Su formulario no está en nuestra lista?" para cargar una copia del formulario que está solicitando.

3. Haga clic en "Formulario estándar" o "Formulario acelerado" para iniciar el proceso para enviarlo a nuestra oficina. El formulario estándar cuesta $15 y se entregará en 7 días hábiles. El formulario acelerado cuesta $ 50 y se entrega en 1 día hábil.

4. Complete todas las partes obligatorias y opcionales del formulario del que es responsable el padre/tutor.

5. Cuando haya terminado de completar todas las partes del formulario y haga clic en "Finalizar", se le pedirá la información de su tarjeta de crédito/débito. Su tarjeta solo se cargará si el proveedor completa el formulario y se lo envía por correo electrónico.

6. Tenga en cuenta: si una enfermera o un proveedor rechaza su formulario, se le notificará a través del portal del paciente.

Virginia Forms

Commonwealth of Virginia School Health Form

Standard Form

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Virginia Athletic Participation Form

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Virginia Asthma Action Plan

Standard Form

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Fairfax County Public Schools

Fairfax County Middle School Sports Form

Standard Form

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Fairfax County Public School Authorization for Anaphylaxis Action Plan

Standard Form

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Fairfax County Public School Medication Authorization

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Arlington County Public Schools

Arlington County Medication Authorization

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Arlington County Allergy Action Plan

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Arlington County Tuberculosis Screening

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Prince William County Public Schools

Prince William County Epinephrine Permission Form

Standard Form

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Prince William County Medication Form

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Prince William County Middle School Athletic Form

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Alexandria City Public Schools

Alexandria City Public School Medication Authorization

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Alexandria City Public School Epinephrine Authorization

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Loudoun County Public Schools

Loudoun County Allergy Action Plan

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Loudoun County Asthma Action Plan

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Loudoun County Medication Authorization

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Loudoun County Tuberculosis Screening

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Catholic School Forms

Bishop O'Connell Immunization Certificate

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Bishop O'Connell Sports Form

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Office of Catholic Schools Food Allergy Action Plan & Treatment Authorization

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Office of Catholic Schools Medication Form

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St. Stephens St. Agnes Immunization & Physical Form

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Maryland Forms

Maryland School Form + Lead Test Certificate

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Maryland Lead Test Certificate

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Maryland State Department of Education Medication Authorization

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Maryland State Department of Education Allergy and Anaphylaxis Medication Administration Authorization Plan

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Maryland Asthma Action Plan

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Maryland Department of Health Immuniziation Certificate

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Prince George County Public Schools

Prince George County Epinephrine Form

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Prince George County Health Form

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Prince George County Inhaler/Nebulizer Form

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Prince George County Medication Form

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Prince George County Sports Form

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Montgomery County Public Schools

Montgomery County Public Schools Anaphylaxis Management

Standard Form

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Montgomery County Public Schools Physical Examination Form

Standard Form

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Montgomery County Public Schools Medication Authorization

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Montgomery County Public School Pre-Participation Athletic Form

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Washington D.C. Forms

DC Universal Health Form

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Washington DC Medication and Medical Procedure Authorization

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DC Anaphylaxis Action Plan

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District of Columbia Medication Authorization

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Miscellaneous Forms (Various Camp, Daycare, Medication Forms)

Preparticipation History and Physical Evaluation

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Boy Scout Physical Form

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Food Allergy and Anaphylaxis (FARE) Action Plan

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Medication Authorization Form

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Written Medication Consent Form

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Tuberculosis Screening Form

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Bright Horizons Allergy Health Care Plan

Standard Form

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Bright Horizons Asthma Health Care Plan

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Crystal City Children's Center Health Statement

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Government Forms (Local, State, Federal)

Child, Youth, and School Services Health Assessment/Sports Physical

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WIC Infant Form - No Fee for This Form

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WIC Child Form - No Fee for This Form

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DMV Disabled Parking Placard or License Plate Application

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Family Member Medical Summary (DD 2792)

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Medical, Dental, Educational Suitability Screening (1300-1)

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Overseas Screening Assignment (CG 1300B)

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Report of Medical History (DD 2807-1)

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Department of State Medical History and Exam (DS 1622)

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Department of State Medical History and Exam (DS 1843)

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College Forms

University of Virginia Health Form

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University of Mary Washington Immunization and Tuberculosis Screening

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James Madison University Immunization Form

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George Mason Immunization Form

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Virginia Commonwealth University Certificate of Immunization

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Virginia Tech Immunization Form

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Other Forms

Is your form not in our list?

1. Please ensure your form is not in list of forms above.

2. Pre-op forms must be completed during an office appointment.

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