Forms

Register Online

We are pleased to announce you can now complete your registration forms on-line ahead of your visit! Please click the links below to submit your child's forms. You will also need to log-in to your child's PATIENT PORTAL to complete your on-line registration.

New Patients

If you are transferring care to our facility from another practice, please complete the Medical Records Release form. Parents of newborns can complete this form to transfer your child's newborn summary from your birth hospital. You may also complete the on-line registration forms listed above before your first visit if you desire.

icon_forms_orangeMedical Records Release TO West Side Pediatrics
Authorizes release of records TO West Side Pediatrics — this form can be printed, scanned, and emailed to [email protected] if needed.

Transferring Care

If you are transferring care, moving, aging out of the practice or need to send records to another specialist, please complete a medical release for us to send your records to another facility.

icon_forms_orangeMedical Records Release FROM West Side Pediatrics
Authorizes release of records FROM West Side Pediatrics — this form can be printed, scanned, and emailed to [email protected]if needed.

ADHD Vanderbilt Forms

If your doctor has requested Vanderbilt forms for your child's visit, you can print the forms here, complete them, and either fax to us ahead of time (513-347-2407) or bring them to your child's visit.

Questions about which forms you need? Please call our office (513-922-8200) and our courteous staff will assist you in preparing for your child's visit.
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it: Get Adobe Reader

Our Location

Find us on the map

Delhi

Delhi, Cincinnati, Ohio Office
Delhi, Cincinnati, Ohio Office

Taylor Creek

Harrison Ave, Cincinnati, Ohio Office
Harrison Ave, Cincinnati, Ohio Office

Hours of Operation

Our Regular Schedule

Delhi Office Hours

Monday:

8:15 AM – 8:00 PM

Tuesday:

8:15 AM – 8:00 PM

Wednesday:

8:15 AM – 8:00 PM

Thursday:

8:15 AM – 8:00 PM

Friday:

8:15 AM – 5:00 PM

Saturday:

8:15 AM – 1:00 PM

Sunday:

9:00 AM – 1:00 PM (November through March) | 10:00 AM – 1:00 PM (April through October) (sick visits only)

Taylor Creek Office Hours

Monday:

8:15 AM – 8:00 PM

Tuesday:

8:15 AM – 8:00 PM

Wednesday:

8:15 AM – 8:00 PM

Thursday:

8:15 AM – 8:00 PM

Friday:

8:15 AM – 5:00 PM

Saturday:

Closed

Sunday:

Closed