Returning Patients
For your office visit, please bring your insurance card and co-pay. We will collect your completed Patient History forms and Medication list.
- If this is your first visit in over a year, you need to complete both pages of the Patient History and the medication list.
- If you have seen us in the past 6 months, you only need to complete the 2nd page of the Patient History and the medication list.
For appropriate and thorough treatment of your child, please have all paperwork completed prior to your appointment.
If we requested that you return a toileting diary, please have it completed and ready during your visit. This is an essential component in the appropriate management of your child. If your child is toilet trained and seeing us for a urinary problem, we will collect a urine sample at this visit. Please have your child ready to void when you check in.
Returning Patient Forms
Release of Records
If you need a copy of your records, please complete the HIPAA Release of Records form and fax or mail it to us.
Please note: The Patient Portal is to be used for Non-Emergent questions/concerns.
10001 Main Street
Conventus Building
3rd Floor, Lion Clinic
Buffalo, New York 14203