Immunization Schedules & Patient Forms

2011 Immunization Schedule*:

Immunization FAQ’s

Why is the Schedule Like That? (PDF 83KB)

Additional Immunization Info at the AAP website here.

We also recommend vaccinateyourbaby.org for information on the importatance of vaccines.

Coastal Pediatric Medical Group Patient Forms:

This includes new patient registration forms, consent to treat form, and office policies and patient responsibilities.
Title: Patient Registration Forms
Description: This includes new patient registration forms, consent to treat form, and office policies and patient responsibilities.
File: new-patient-forms.pdf
Size: 426 kB
Notice of Privacy Practices
Title: Notice of Privacy Practices
File: notice-of-privacy-practices.pdf
Size: 145 kB
Authorized Coastal Pediatric Medical Group to request medical information from another physician or provider. Please note there is a form for our Ventura office and Oxnard office.
Title: Medical Info REQUEST form
Description: Authorized Coastal Pediatric Medical Group to request medical information from another physician or provider. Please note there is a form for our Ventura office and Oxnard office.
File: ventura-oxnard-records-request-form.pdf
Size: 557 kB
Authorizes Coastal Pediatric Medical Group to release medical information to another physician or medical group. Please note there is a form for our Ventura office and Oxnard office.
Title: Medical Info RELEASE form
Description: Authorizes Coastal Pediatric Medical Group to release medical information to another physician or medical group. Please note there is a form for our Ventura office and Oxnard office.
File: ventura-oxnard-release-authorization.pdf
Size: 548 kB


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