We can provide: 680 Forms (blue) and/or Physical (yellow) forms for school enrollment or daycare requirements. If you are in need of these forms, please fill out this form, once submitted the forms will be prepared within 72 hours. One of our staff members will contact you to let you know the forms are ready. Online Blue & Yellow Request Form will provide you faster service and avoid making an extra call to the office. Let us know if you prefer us to text you or email you when the forms are ready.
Forms are done during normal business hours, Monday through Friday 9:00 am to 5:00 pm. No requests will be worked on during a weekend or holiday
Note: The Blue & Yellow Request Form is for existing patients only. ALL New Patients, please call our office directly to schedule an appointment.
Welcome to the Merchant Pediatrics website! We have designed our site to provide an easier and better user experience.
Making appointments for your child has never been easier with our new Online Appointment Request Form. Simply click on the Appointments section.