south river pediatrics patient portal

New Patient Forms

Save time in the waiting room! Please download, print, and complete all pertinent forms before your appointment.

Physical Forms

The forms below require your child (ren) to have a physical/well check-up within the year in order for our medical staff to complete.

School Medication Forms

Please complete the top portion of the appropriate form with the exact name of the medication. The form must specify whether brand or generic.

Special Forms

The Patient Health Questionnaire (PHQ-9) is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression. The PHQ-9 incorporates DSM-IV depression diagnostic criteria with other leading major depressive symptoms into a brief self-report tool.

What can I do in the patient portal?

Please note that as of 11/30/20, we moved to a new platform for our patient portal. All families need to be re-registered. If you have not yet been registered for the new portal, give us a call so we can set you up!

Having trouble?

If you are having difficulty registering yourself or your child, please see the information below before calling the office.