Skip to content
Forms & Policies
Child Health Library
Online Bill Pay
Patient Portal
Forms & Policies
Child Health Library
Online Bill Pay
Patient Portal

Parent Forms & Policies

Main Street Pediatrics has offices in both Towson and Foundry Row to serve you. On this page, you’ll find information about our general office policies as well as links to some of the forms that you can print out and fill out before your appointment to save time.

Read office policies

Download Patient Forms

Before Your Appointment With Us, Quickly And Conveniently Access Patient Forms From Our Practice.

Please bring your completed forms with you to our office at the time of your visit. To view the documents listed on this page, you will need Adobe Reader.

If you are a new patient, fill out the forms below. Be certain to email, fax or mail them to us in advance of your appointment. For the Towson office, our email address is formstowson@mainstreetpeds.com. For the Foundry Row office, our email address is formsfoundry@mainstreetpeds.com.

Get more information about our locations

If you are an adolescent or young adult patient (12 years or older), or you have a child who is an adolescent or young adult patient, please click the link below to view our well visit questionnaires:

If you are a young adult patient (18 years or older), or you have a child who is a young adult patient, please click the link below to view our privacy agreement:

If you are coming in for a prenatal consultation, print out the Prenatal Consultation form below and bring it with you to your appointment.

If you need to transfer your medical records either from us or to us, use the below form.

The bivalent COVID vaccine (also known as the Omicron variant COVID-19 vaccine) is now approved for all ages 6 months or over.

What this may mean for your child/children:

1) If they have received the bivalent COVID-19 vaccine already, then you are considered fully vaccinated at this point.

2) If your child is between 6 months and 5 years old, and have either not started the vaccine series, or have only partially completed the series, they will need to receive the bivalent vaccine(s) to complete that series.

3) If your child is 5 years or older and has never received the bivalent COVID-19 vaccine, they likely have some antibody protection to COVID-19 and need just a single bivalent vaccine to be considered completely vaccinated.

If you have any questions about your child’s COVID-19 vaccine needs, please contact our office. You can contact our office at Towson by calling (410) 494-1369 or our Foundry Row location at (410) 526-7993.