For the safety of our staff and patients, we are currently limiting 1 caregiver per patient inside our offices.
Everyone over the age of 2 is required to wear a mask at all times. Thank you for your understanding.
Please fill out the form below to authorize temporary consent for your child to be seen at PM Pediatrics with an adult other than yourself. Please submit this form to your nearest office along with a copy of your photo ID.
IMPORTANT: This form is valid for one calendar year and must be renewed each year in order to be considered valid.