INFORMATION & FORMS

Various required forms are available on this page. Our office staff and/or providers may direct you to this page to print out and complete forms prior to your visit.

All the forms are in PDF format and require Adobe's Acrobat Reader which is free. If you do not have Acrobat Reader you can download it here.

HOURS

Monday - Thursday: 7:00am-8:00pm

Friday: 7:00am-5:00pm

Saturday: 9:00am-12:00pm - Sick visits only by appointment

 

Please call the office at 410-569-3300 to make an appointment with one of our providers!

 

If it is a medical emergency, please call 911 or go to your nearest emergency room.

 

INSURANCE AND BILLING

We participate with most insurance companies and welcome self-pay patients. We do not

participate with any medical assistance plans.  Please be aware,that payment is due at

the time of service for self-pay individuals. Should you have any questions

regarding insurance or billing matters, please call the office Monday through Friday, 410-569-3300.

HAS YOUR INSURANCE CHANGED? 

If you are currently a patient at our practice and your insurance has changed please bring your new

card with you to your next visit. 

 

PAYMENTS

All co-pays are due at the time of the visit unless prior arrangements have been discussed with the billing staff. Fees for office visits are expected at the time of service if you have deductibles, co-insurance payments or services not covered by your insurance. Please refer to our financial policy for additional information.

MISSED APPOINTMENTS 

There is a $25 fee for missed appointments per patient without 24 hour notification.

NEW PATIENT FORMS

Welcome to Bright Oaks Pediatric Center and thank you for choosing our practice to provide the medical care for your children!

 

We aim to provide care in a comfortable and fun environment. We have provided forms below to make your first visit stress-free, concise, and enjoyable.

 

Please plan to arrive 15 minutes early for your first appointment in order to process the paperwork. Please be sure to bring your insurance card.

If your child has been under the care of another pediatrician, we ask that you have the medical records transferred to our office including growth charts, immunization records, and previous well and sick visits.

New Patient Packet - This PDF contains a compilation of all the forms you need for your new patient visit. Please print the entire document and complete each form using the checklist on the first page. You may also download the individual documents below.

ADHD TEACHER AND PARENT RATING SCALE

SCHOOL, CAMP, DAYCARE & SPORTS FORMS 

There is a $10 fee for health forms. There is a $10 fee per set for completion of all health forms. Please allow 5-7 business days for completion and be sure the parent’s part is complete before giving it to the office. We will call you once the form is ready for pick up.

HARFORD COUNTY PUBLIC SCHOOLS

Immunization Requirements

Medication Policy

Health Inventory

Pre-participation Physical Evaluation for Interscholastic Activities

Medication Policy Permission Form

Medication Self-Carry Permission Form

Discretionary Medication Permission Form

Immunization Certificate Form (896 Form)

© 2017 by Bright Oaks Pediatric Center

Call Us: 410-569-3300

Fax: 410-569-8199

2111 Laurel Bush Road, Suite H

Bel Air, Maryland 21015

Monday - Thursday: 7:00am-8:00pm

Friday: 7:00am-5:00pm

Saturday: 9:00am-12:00pm - Sick visits only by appointment

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