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We are accepting newborns and out of town transfers only at this time.  

Downloadable Forms

(These forms are in PDF format and can be downloaded, printed and completed.  Please bring these forms with you to your appointment)

Patient Forms
Consent for Treatment
KHSAA Examination Forms
New Patient Profile Form
Patient Profile Update Form
Release of Medical Records

This site is intended for information only. It is not meant to give medical advice. It is to be used by patients of East Louisville Pediatrics as a guide to gather information only and this site should not delay any medical advice. Any medical advice should be discussed between you and your doctor.
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