Patient References
New Patients
New Patient Forms are Completed via the Phreesia Online Check In Tool. You will receive a link. If you do not receive a link at least 24 hours prior to appointment, please call our offie.
- Records Release INCOMING Authorization Form rev10.24.2023 : please submit this form to your child’s previous health care provider prior to your appointment so that we can review records and immunizations
All Patients
Privacy Practices
At any time, you may read and download a copy of our Privacy Practices. A copy of this document will be provided to you at our office at any time upon request.
Dosing Reference Sheets
The information on these dosing charts is not intended to give medical advice. It is for informational purposes only. The content is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of content found on this website.
Be aware that many over the counter (OTC) medications such as cough and cold medicines may contain acetaminophen, ibuprofen or diphenhydramine, which can lead to double dosing. Read all OTC labels carefully. Pecan Tree Pediatrics advises against using multi-ingredient OTC medications in children.
- Ibuprofen / Acetaminophen Dosage Chart
- Benadryl Dosing Chart
- Allergy Medication Dosing Chart
- Miralax Dosing Chart
Attention Deficit Disorder (ADD / ADHD) Visits
Prior to your child’s appointment for an evaluation of or follow up of ADHD / attention and focus issues, please complete the following forms. If your child has more than one teacher, please print the number of forms needed so that each teacher can complete his or her own form.
For new assessments / evaluations, please complete forms and return PRIOR to your appointment.
For follow up appointments, return these completed forms to the office before or at the time of your appointment.
Medical Release
Please allow 5 business days to complete your request for Medical Records.
- Records Release INCOMING Authorization Form rev10.24.2023
- Records Release OUTGOING Authorization Form rev10.24.2023s
Vaccine Refusal
At Pecan Tree Pediatrics, we advocate and encourage fully immunizing your child on the schedule recommended by the Centers for Disease Control. However, in the case your family chooses to not vaccinate in a timely manner or at all, we require a Refusal to Vaccinate Form to be signed by the child’s parent or guardian.