Upload Completed Forms

You may securely upload your completed forms here, entering the patient’s first and last name when prompted.  If requested, you may also upload photos/videos.

CHADIS
At Richmond Pediatrics we strive to provide the best care possible for your child. In an effort to create this outcome, we are excited to announce our partnership with Child Health and Development Interactive System: CHADIS

CHADIS is a state-of-the-art service that allows you to complete developmental and health questionnaires online prior to your child’s next visit. CHADIS was founded by experienced pediatricians with the goal of providing better care and support to kids and families. By completing these questionnaires prior to your child’s appointment, your child’s medical provider will be able to review the results and be ready to discuss them with you during your child’s visit. An added benefit for you is that the forms are filled out at home, online, and at your convenience. We encourage all patients to fill out these forms prior to your child’s appointment. Depending on the age of your child, the forms should take between 5 and 15 minutes to complete.  FAQs about CHADIS

Those forms will be available on our Patient Portal. Please call us if you do not have access or need additional assistance.

Screening Forms

Please complete the appropriate form for your scheduled appointment. A staff member will call you before your scheduled telehealth appointment to go over visit information and will instruct you on which form(s) to complete for your appointment.

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Completing and Saving Instructions 

Adobe Reader is available for free for your phone and desktop. An account is required for mobile devices. If not already installed, you can install it here: http://get.adobe.com/reader 

Once you have downloaded and installed Adobe Reader, please download and open the appropriate form for your appointment with Adobe Reader. Once you have filled out the form, please save it somewhere easy to remember. You may then securely upload your completed forms here, entering the patient’s first and last name when prompted.  Please print the completed form as a PDF.  Click Print and under Printers select “Save as PDF” or “Microsoft Print to PDF” 

 

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