Patient Forms & Parent Resources
Completed patient forms may be returned via the following methods:
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Fax to 855-538-3095
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Email to records@sunrisepediatricsok.com
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OR you may drop off in person during business hours
**We kindly ask that you complete ALL fields in full to ensure we have the most accurate information for your child's health record.**
Patient Forms
ALL patients (both brand new and previous Moore Pediatrics patients) must complete patient registration forms prior their first appointment with Sunrise Pediatrics.
We kindly ask that you complete all fields in full.
Please complete this form if you are needing to request records from a previous primary care clinic, specialist, urgent care, emergency department OR if you are needing Sunrise Pediatrics to disclose your child's medical records to a new office for transfer of care.
*If you are a former patient of Moore Pediatrics and need to request your past medical records, please click here to be redirected to Norman Regional's website where you can submit your request.
Please bring this form to your scheduled Sports Physical appointment. All parent/patient related questions (page 2) must be completed upon arrival.
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*Sports Physicals are a flat fee of $25.00, due at the time of service. If your child is due for his/her wellness exam and also needs a sports physical completed, you may have this form filled out during the WCC appointment free of charge.
ALL patient information & parent questions on any form MUST be completed by the parent prior to the child's appointment.
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This includes: patient name and DOB, medication information, patient history questions, etc.
Bright Futures
7 & 8 Year Visits (parent)
7 & 8 Year Visits (patient)
9 & 10 Year Visits (parent)
11-14 Year Visits (parent)
11-14 Year Visits (patient)
15-17 Year Visits (patient)
18-21 Year Visits (patient)
9 & 10 Year Visits (patient)
Vaccine Information
Our Policy on Vaccinations
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We follow the immunization schedule recommended by the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP).
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At the same time, we respect a parent’s right to make medical decisions for their child. We welcome open conversations about vaccines and are happy to discuss any questions or concerns so we can work together on a plan that feels safe and informed.
To view a printable PDF of the CDC Recommended Child & Adolescent Immunization Schedule,
Wellness Exams & Behavioral Appointments
(given at the 18 & 24 month wellness exams)
Because emotional wellness matters too, we routinely screen for depression in patients ages 11+ during yearly well visits to help support healthy minds and healthy lives.
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*Your child's safety is our highest priority. If your child is experiencing a mental health crisis, or may be at risk of harming themselves or others, please call 911, go to the nearest emergency room, or contact the Suicide & Crisis Lifeline by calling or texting 988 24/7 for immediate support.
NICHQ Vanderbilt Forms - INITIAL
(child is not yet taking medication)
NICHQ Vanderbilt Forms - FOLLOW-UP
(child is currently taking medication)
For New Moms and Parents
Because caring for Mom matters, too - a simple wellness check in during baby's first year.
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*If you are experiencing a mental health crisis, or may be at risk of harming yourself or others, please call 911, go to the nearest emergency room, or contact the Suicide & Crisis Lifeline by calling or texting 988 24/7 for immediate support.
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For additional emotional support or to learn about available resources, please call:
National Maternal Mental Health Hotline
1-833-TLC-MAMA (1-833-852-6262)
Informational Handouts
Click the link below for a comprehensive online library of patient handouts ranging from birth through young adulthood, published by the American Academy of Pediatrics.