Sunrise Pediatrics
Sunrise Pediatrics
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  • Meet the Physician
  • Insurances
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  • More
    • Home
    • COVID-19
    • Meet the Physician
    • Insurances
    • Services
    • Forms
    • Links and Resources
    • AzAAP Back to the Office
  • Home
  • COVID-19
  • Meet the Physician
  • Insurances
  • Services
  • Forms
  • Links and Resources
  • AzAAP Back to the Office

COVID 19 vaccine (5-11 years) paperwork

Instructions for COVID vaccine (docx)Download
Informed-consent (pdf)Download
Pre-vaccination screening form (pdf)Download
EUA Fact sheet for Recipients - Pediatric - Pfizer-BioNTECH (PDF)Download

Forms for Patients and Families

Patient History Form (pdf)Download
Patient Information Form (pdf)Download
Family_History_Form (pdf)Download
New_Patient_Consent_Form (pdf)Download
Release of Medical Information Form (pdf)Download

Copyright © 2020 Sunrise Pediatrics - All Rights Reserved.

Phone: (480) 892-3500

Fax: (480) 892-0695 

Email: sunrisepedsaz@gmail.com

4100 S. Lindsay Rd, Ste 126, Gilbert, AZ 85297