New Patient Forms

New Patient Forms

New Patient Forms

New Patient Forms

Advanced Pediatrics PC was established in 1998, and has always worked tirelessly for the good health of the children of New York. We will ensure your child receives premium health care by skilled physicians at all times. Contact us today.

At Advanced Pediatrics PC, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or you bring them with you to your visit.​​​​​​​ Click the forms below in English or Spanish for your pediatric care.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s), print it out and fill in the required information.

  • Fax or email us your completed form(s) or bring it with you to your appointment.


This information will help us review the health of your child.

Reliable pediatric care

Count on us to care for your child with the best of our abilities. Our pediatric doctors have the experience and proficiency to treat your child with love and care. Ill-health can occur anytime, which is why we offer 24/7 emergency services for you.
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Effective pediatric care

Advanced Pediatrics PC provides complete medical care for your child, including nutritional counseling, immunizations, newborn care and more. Let's bring good health and happiness to your child.

Helpful Articles
admin none Pediatric Health Care # # # 9:00 AM - 5:30 PM 9:00 AM - 7:00 PM 9:00 AM - 7:00 PM 9:00 AM - 5:30 PM 9:00 AM - 6:00 PM 9:00 AM - 3:00 PM Closed 9:00 AM - 7:00 PM 9:00 AM - 4:00 PM 9:00 AM - 7:00 PM 9:00 AM - 4:30 PM 9:00 AM - 4:30 PM 9:00 AM - 3:00 PM Closed 94-36 59th Ave Suite C4
Elmhurst, NY 11373
(Next to Queens Center Mall) 37-12 92nd Street
Jackson Heights, NY 11372
(1st Floor)