314.849.3320
South County Pediatrics
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    • Dr. Irma I. Ortiz Arroyo
    • Dr. Maria S. Baszis
    • Dr. Teresa Kurtz
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Any School, Sports, or Camp forms that need to be filled out for your child can be faxed to our office at 314-849-7766 or emailed to socopeds@gmail.com. Please have these forms to us at least one week in advance of when you need them.


 
Release of Medical Records to South County Pediatrics - For Patients coming to our office
 Release of Medical Records from South County Pediatrics - For Patients leaving our office
Parent's Progress Report for ADD/ADHD
Patients Over 18 Consent Form
18 and 24 Month MCHAT Screening
9 month Ages and Stages Questionnaire
30 Month Ages and Stages Questionnaire
Patient Demographics and Consent Form
Notice of Privacy Practices
Acknowledgement of Receipt