New Patient Demographics Form
Privacy Policy
Newborn Instructions
HIPAA Information Packet
for review only...no need to print
The forms below are property of Auburn Pediatric and Adult Medicine, and are presented so that new patients can access the forms prior to arriving
at the office.  Do not use these forms for any other purpose.  The information contained within these forms is not a substitute for medical care, and
should be used only as an adjunct to the office visit.  Information in these forms may change from time to time without prior notification.
Financial Policy
All rights reserved, Auburn Pediatric and Adult Medicine, L.L.C.
Vaccine Information Sheets
Medical Records Release
Auburn Pediatric and
Adult Medicine, LLC

2353 Bent Creek Road
Suite 110
Auburn, AL  36830
phone (334) 887-8707
fax (334) 887-8706