Rainbow Pediatrics, LLC

364 Parsippany Road, Unit 9B

Parsippany, NJ, 07054

For Life-Threatening Emergencies Call 911

Rainbow Pediatrics, LLC, a Primary Care Partners Affiliate

FORMS

WELCOME LETTER: This is our welcome letter and contains our practice philosophy.

 

 

REGISTRATION FORM : Fill up this registration form and bring it with you during your initial office visit

 

 

HIPPA POLICY: Please review this HIPPA Policy document.

 

  

PAYMENT POLICY: This is our payment policy and guide to understanding your Primary Care Partners Statement.

 

 

M CHAT AUTISM SURVEY : Download this form and answer all the questions and bring this form during well child visit at 1 year, 15 months, 18 months and 2 years.

 

RECORD RELEASE FORM : Fill this form out so that our office can release your records

 

 

PHI FORM : Fill this form to request a copy of Protected Health Information​