Below are some of our most commonly used forms. To expedite your first visit with us just print and fill out the forms below before coming into our office.
New Patient Forms
- Sea View Pediatrics Immunization Policy
- Sea View Pediatrics Patient Information Form
- Sea View Pediatrics Confidential Health Questionnaire
Notice of Privacy Practices – For your review
Request Records from Your Previous Provider
If you would like Sea View Pediatrics to request records for you from your previous pediatrician, please print and complete this form and bring it along with your new patient paperwork and we will be happy to fax it to your previous provider.
Request Records from Sea View Pediatrics
If you would like to request a copy of your medical records from Sea View Pediatrics, please click on the link below. For further questions regarding records, you may contact Children’s Hospital of Orange County at (714) 509-4368.
- HIM – Medical Record Request – Children’s Health of Orange County (choc.org)
- HIM – Medical Record Request – Spanish – Children’s Health of Orange County (choc.org)
School, Camp, Medication Forms
Please bring your forms to us as soon as you receive them to avoid the rush. Be sure to fill in your CHILD’S NAME and DATE of BIRTH along with all the portions designated to be filled out by parent PRIOR to submitting your form to us. Completing these areas on the forms helps us ensure utmost accuracy and completeness of forms.
If you are bringing a form with you to your appointment, in most cases, we will be able to complete your form before you leave that day. There are times when our office is extremely busy and you may be asked to leave the form with us for a few days.
If you are dropping off, faxing or emailing a form to us, please allow 3 to 5 business days to complete. We will call you when your form is ready to be picked up. Sea View does charge a $10.00 form fee.
