Resources and Forms

The following forms can be downloaded and filled out prior to your appointment. Many organizations have their own forms which are not shown, so please contact them and request the form to fill out.

New Patient Forms

• HIPAA (HIPAA privacy policies)
• Acknowledgement of HIPPA policies
• Patient Registration Form
• Patient Medical History Form

Prenatal Form

Please download and fill out the following form so Dr. Corba can review and discuss it with you during your prenatal visit.

• Prenatal Form

Kentucky Forms

• Participation in Athletics for Grades 6-12
• Preventative Healthcare Examination Form For Entering Public School Prior to 6th Grade
• School Immunization Requirements and Immunization Certificate

Indiana Forms

• Participation in Athletics for grades 9-12
• School Immunization Requirements

Other Forms

• Transfer to Kids R Great Pediatrics

General Health and Development

healthychildren.org
Abundance of health guidance and advice provided by the American Academy of Pediatrics. Site includes information on development, illnesses, safety, fitness, breastfeeding, and much more.

Symptom Checker
Interactive link in which you can select the child’s symptom and it will generate the most common causes of that symptom

Vaccination Information

Up to date information discussing research and safety of vaccinations.

• chop.edu/service-education-center
• immunize.org
• vaccineinformation.org

Allergy Information

aaaai.org
Information and links regarding allergies from the American Academy of Allergies Asthma and Immunology

Kids R Great on Facebook

Click here for our latest announcements from Kids R Great Pediatrics.

Accident Prevention and Safety

• safekids.org
Great resource providing information on keeping your child safe at any stage of development

• cpsc.gov
Comprehensive site regarding past and current recalls, including toys, strollers, cribs, etc.

• Car Seat Information

Behavior

• ADHD
• Autism
• Problems with Sleep