
Forms
Please send all forms requests/pre- completed forms to forms@randolphpediatrics.com
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 7 days. If you need the forms expedited, the fee is $25 for a 24 hour turnaround. This fee is not covered by insurance.
WORKING PAPERS - Due to COVID, we ask that you please send a an e-mail request and scanned copy of documents to the office for the doctor to complete. There is no charge for this.
COPIES OF MEDICAL RECORDS - You must make the request for a copy of your child’s file in writing. There is a minimum charge of $30.00 per patient. This process can take up to seven (7) days from receipt of written request.
VACCINATION RECORDS - Due to COVID, we ask that you please send an e-mail request for vaccine records. There is no charge for this.



