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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.

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.

Main Street Pediatrics now offers the latest Pfizer COVID-19 vaccine and the flu vaccine, recommended by the CDC and the American Academy of Pediatrics for ages 6 months and above. Please call our office to schedule a COVID-19 vaccine visit for your child. For more details read our recent blog post.