COMPREHENSIVE MEDICAL CARE
FROM INFANCY TO YOUNG ADULTHOOD
At Randolph Pediatrics, we are committed to providing a sensitive and personal environment for pediatric care.
Forms
Please send all form requests/pre- completed forms to the Patient Portal.
https://patientportal.intelichart.com/login
**If you are not already registered for the portal, you will need a pin for your child. Please give the office a call if this is the case.**
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SCHOOL, ATHLETIC, CAMP FORMS/ ADMINISTRATIVE FORMS/ MEDICAL LETTERS
The fee to complete school/camp/athletic forms is $15 per child. Forms will not be processed until the fee is paid. Processing takes up to 5 business days from the time payment is received. If you need the forms expedited, the fee is $25 for a 24 hour turnaround.
This fee is not covered by insurance.
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WORKING PAPERS
As of June 1, 2023, Working Papers for minors have gone digital. Minor workers, their caregivers, and employers all fill out their respective parts of our streamlined online application instead of using the old paper form. Click here to download a handout explaining the new process.
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MEDICAL RECORDS
You must make the request for a copy of your child’s file using our medical record request form. Once your request is received we will contact you about the fee to complete your request. This process can take up to 30 days from receipt of written request.