Lehigh Valley Pediatric Associates

Call Our Offices
  • Home
  • Meet Us
    • Oscar A. Morffi, MD
    • Richard J. Morse, MD
    • Rajender S. Totlani, MD
    • Alfred M. Morrobel, MD
  • Locations
    • Allentown Office
    • Bethlehem Office
  • For Parents
    • Immunization Schedule
    • Dosage Charts
    • Breastfeeding
  • New Patients
  • Forms & Policies
    • Billing & Insurance
  • Contact Us
    • Our Blog
Forms & Policies

Patient Forms

Download Patient Forms

Before your appointment with us, quickly and conveniently access patient forms from our practice.

To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com. Please bring your completed forms with you to our office at the time of your visit.

  • New Patient Packet
  • Patient Information Change Sheet
  • Patient Information 18 & Older
  • Over 18 Consent Form
  • Family History
  • Sports Evaluation
  • Medical Records Release From Lehigh Valley Pediatrics
  • Medical Records Release To Lehigh Valley Pediatrics

Download Office Policies

  • Patient Authorization
  • Patient Communication Consent
  • Combo Consent Form
  • Notice of Privacy Practices
  • Financial Policy
  • Consent to Treatment
  • Patient Communication Permission Form
  • Get Directions Get to your next visit with ease.
  • Parent Online Resources Our online tools help parents
  • Get Ready For Your Visit Get the paperwork before your visit

Request a Prenatal Visit

    Connect with us

    Lehigh Valley Pediatric Associates

    P (610) 434-2162 | F (610) 434-9370

    Bethlehem Office

    P(610) 434-2162 | F (610) 865-3249

    • Home
    • Meet Us
    • Locations
    • For Parents
    • New Patients
    • Forms & Policies
    • Contact Us
    • Privacy Policy
    • Photo Disclaimer
    • News & Events

    Copyright 2025 Lehigh Valley Pediatric Associates.

    Medical Website Design by Practis