Patient Registration Forms

Patient forms can be filled out prior to coming to the office for you child's first visit. Filling them out ahead of time will save you some time.  Otherwise, please plan on arriving 15 minutes prior to your first visit. 

A Note to Parents:

Please complete the information on forms prior to handing to our staff. Even if you saw Dr. Sudo in the past, your child is still new to our practice. We do not have access to their prior records. We ask that you request their previous medical records from where they were seen in the past. Please see our staff if you have any questions.  

New Patient Forms (under 18 years old):

New Patient Forms (over 18 years old):


My Kids Pediatric Partners, PC

1102 Highway 315 Blvd, Wilkes-Barre, PA 18702

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