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Beach Pediatrics
Beach Pediatrics
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  • About Us
    • Meet Our Doctors
    • Patient Testimonials
    • Insurance Accepted
  • Resources
    • Expectant Parents
    • Well Visit Schedule
    • Immunization Schedule
    • Patient Forms
    • Helpful Websites
  • More
    • Home
    • About Us
      • Meet Our Doctors
      • Patient Testimonials
      • Insurance Accepted
    • Resources
      • Expectant Parents
      • Well Visit Schedule
      • Immunization Schedule
      • Patient Forms
      • Helpful Websites
📞Call Us
  • Home
  • About Us
    • Meet Our Doctors
    • Patient Testimonials
    • Insurance Accepted
  • Resources
    • Expectant Parents
    • Well Visit Schedule
    • Immunization Schedule
    • Patient Forms
    • Helpful Websites
📞Call Us

From first steps to high school milestones, we’re here to walk the shore with you through every wave and every wonder.

New Patient Forms

Here you’ll find the necessary documents for your first visit.  You may download and complete the New Patient Packet ahead of your visit to help us welcome your family with ease. 


Please also remember to bring both your child’s immunization record and your insurance card to your first visit.


New Patient Packet (pdf)

Download

Records Transfer Request (pdf)

Download

Notice of Privacy Practices (pdf)

Download

Patient Forms

Medical Records Request (pdf)

Download

Physician's Report for Child Care Centers and Preschools (pdf)

Download

Kindergarten Exam for School Entry Form (pdf)

Download

Send Us Your Forms Here!

Please upload your forms as a single PDF. If you need any help, don’t hesitate to call our office.

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Beach Pediatrics

17742 Beach Blvd Ste 360, Huntington Beach, CA, USA

(714) 848-0868

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