Click the link for the forms you need to complete forms electronically. Completed forms are submitted directly to Mendon Pediatrics via a fully HIPAA compliant service.
Transferring TO Mendon Pediatrics? Click here.
Transferring FROM Mendon Pediatrics?
Click here for patients UNDER the age of 18*
Click here for patients OVER the age of 18*
*Note: Your new medical provider may require their own medical records transfer form.
If you have any questions regarding this process, please contact our Office Manager, Lisa Evans 585-624-4520.