Do you need to release your child’s medical records to another clinic, to a specialist, or to their school? Use the convenient form below to release your child’s medical records to your preferred destination.
Are you joining the Black Hills Pediatrics family? We’d love to have your child as our newest patient! Click on the second link below to complete the release form to send your child’s medical records to our clinic.
If you have any questions about completing or submitting the medical release forms, please give our office a call at (605) 341-7337 today.
Once a teenager turns 18 years old, they become responsible for their own care and will need to fill out a new registration form.
If your child’s pediatrician requests that you complete any of the following forms prior to treatment, please do so by clicking on the applicable link below.
Please don’t hesitate to reach out to us at (605) 341-7337
2905 5th St, Rapid City, SD 57701