Pediatrics of Sleepy Hollow believes that raising a child is a rewarding, as well as a challeging experience for a parent. Our goal is to help you enjoy this experience and to ensure that your child's full potential is reached. We believe that healthy children are the result of healthy families and communities.
To understand what to expect for your child's first visit to our practice, please read through this page.
Our practice is working together to build life-long relationships between our staff and our patients by consistently providing our patients with compassion, excellence and value. To fulfill this mission, we are committed to:
- Improving the lives of the children we serve by providing quality care in a child-centered environment.
- Listening to our young patients and their families who we are privileged to serve.
- Guiding our patients along a path of optimal health and wellness.
- Continually pursuing excellence at all levels through continuing education.
What to bring to your first visit?
We work hard to ensure that your child receives prompt medical care in a comfortable, child-friendly office setting. To help expedite the first appointment, we ask that you please bring your child's immunization records and be prepared to complete paperwork regarding your family medical history, your child's medical history, and insurance information.
We are also happy to offer you the option to download, print and complete our office forms to reduce wait times during your first appointment.
Privacy Practices and Acknowledgement (HIPAA)
Patient Registration Packet
- Credit Card on File
- Request for Limitations and Restrictions
- Email Communication Form
- Minor Consent Form Auth to Bring Patient for Treatment
- Patient Information Form
- Financial Policy and Waiver
- Demographic Form
- Registration Sheet BCHP
Authorization For Release of Information
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
What to Expect
On the day of your child's first visit to our office, we recommend arriving a few minutes early. This allows extra time for finishing up any registration forms and ensures you have plenty of time to get acquainted with our staff and office. We look forward to meeting you and joining with you to help your child maintain optimal health.