Before Your Visit

We want to make your visit to Liberty Pediatrics as streamlined as possible.
Fill out your child’s registration and after your registration has been verified you will receive a link to our patient portal to complete your child’s medical history.

You may also print the forms below and complete them before your visit.

You may view consent forms online so that you may review them before you sign consents in the office.  

You may also request copies of your consent forms when at the office.

A medical release form will be required to allow your child’s current pediatrician to send you child’s protected medical information.  We encourage you as your child’s parent to request previous records, as this tends to expedite the process. Please have your child’s current pediatrician fax medical records to (844) 563-8129 or mail forms to Liberty Pediatrics Attention Medical Records: 3735 Corporate Woods Drive, Suite 105  Vestavia Hills, AL 35242.

We will be utilizing CHADIS, which is a leading developmental and other screening system designed to allow parents and children to more thoughtfully complete questionnaires at home before their visit in their own time.  Before your visit, if your visit type requires a questionnaire (such as at a well child check up), you will receive an email with a link to the appropriate questionnaire.