Healthy Steps Pediatrics, LLC

Jessy John, MD

Christopher Meyer, MD

Constantine Serkes, MD

Megan Belamorich, MD

© Healthy Steps Pediatrics, LLC.

Logo by Leigh Friedman Prescott. Website by Laura A. Mikowychok Design & Media, LLC.

750 W. Lincoln Hwy

Exton, PA 19341

Office: (610) 363-7837

Fax: (610) 363-3923

www.healthystepspeds.com

Forms & Downloads

New Patient Forms

PDF

New Patient

Information

Form (PDF)

Are you a new patient? Welcome! Download, complete, and bring along this form to your first visit to save some time in the waiting room.

 

Must be completed by an adult over the age of 18, or a parent or guardian of a child under age 18.

HIPAA Privacy Forms

PDF

HIPAA Notice of Privacy Form (PDF)

All Healthy Steps patients must have this form on file; please download and bring it to your first appointment, or you can fill it out when you arrive.

 

Must be completed by an adult over the age of 18, or a parent or guardian of a child under age 18.

Transfer to HSP

PDF

Are you transferring practices? Complete this form to authorize our practice to obtain or transfer your medical records to/from another doctor.

 

Must be completed by an adult over the age of 18, or a parent or guardian of a child under age 18.