Telemedicine Forms

Professional telemedicine services are provided through www.pmpanywhere.com and the PM Pediatrics Anywhere mobile application by: (1) PM Pediatrics of Alaska, LLC in the State of Alaska; (2) PM Pediatrics of California, Professional Corporation in the States of California and South Carolina; (3) PM Pediatrics of Connecticut, LLC in the State of Connecticut; (4) PM Pediatrics of Illinois, LLC in the State of Illinois; (5) PM Pediatrics of Maryland, LLC in the State of Maryland and District of Columbia; (6) PM Pediatrics of New England, LLC in the Commonwealth of Massachusetts and the State of New Hampshire; (7) PM Pediatrics of Livingston, LLC in the State of New Jersey; (8) PM Pediatrics of Bayside, PLLC in the States of Georgia, Michigan, Minnesota, Ohio, Washington and New York; (9) WakeMed Children’s PM Pediatrics Urgent Care, LLC in the State of North Carolina; (10) PM Pediatrics of Pennsylvania, LLC in the Commonwealth of Pennsylvania; (11) Children’s Health PM Urgent Care, PLLC in the States of Arizona and Texas; (12) PM Pediatrics of Virginia, LLC in the Commonwealth of Virginia; (13) Pediatric Medical Urgent Care, PLLC in the State of Tennessee; (14) PM Pediatrics of Florida, LLC in the State of Florida; and (15) PM Pediatrics of Hawaii, LLC in the State of Hawaii.

On this page, you will find links to the PM Pediatrics Financial Policy; Privacy Policy; Notice of Privacy Practices; Terms and Conditions of Service; and Telemedicine Consent to Treat, Guarantee of Payment, and Acknowledgement of Notice of Privacy Practices form.  Please follow the links below to review each form.  If you have any questions, you may contact us by filling out the form below.

Financial Policy.

Insurance Information.

Privacy Policy.

Notice of Privacy Practices.

Terms and Conditions of Service.

Telemedicine Consent to Treat, Guarantee of Payment, and Acknowledgement of Notice of Privacy Practices.