Forms & Policies

Your time is precious, so to make things run as quickly and smoothly as possible during your visit, we’ve provided some of our common forms for download.  If you have a chance, please print and fill them in prior to your visit and bring them with you.

We’ve also provided downloadable copies of our billing and privacy policies — please take a few minutes to review these in advance of your appointment.  We hope that this will make things even easier during your visit!

*Please note: All forms are in pdf format and require Adobe Reader.

Patient Forms

Prenatal/To-meet Visits
New Patients Required Forms   
  Save time, fill out and print before your visit!

Coverage Patients

Policies & Notices

Dr. Lloyd is moving!

On May 21st, 2018, she joined Portland Pediatrics! Her new office is located at:
Portland Pediatrics- Webster Office
(behind the Holt Road Wegmans)
1110 Crosspointe Lane, Suite D
Webster, NY 14580
Phone: 585.872.3390

New Families

We are accepting new patients! Please call to schedule a "meet and greet" visit to look around the office and ask any questions you have.

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