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  • About About

    About

    Holland Pediatric Associates is committed to providing the best healthcare for all children.

    • Medical Providers
    • Who We Are
    • Our Team Approach
    • Policies
  • Health Info Health Information

    Health Information

    Our approach to pediatric healthcare – practicing evidence based medicine.

    • Symptom Checker
    • Patient Portal
    • Our Approach
    • Vaccines
    • Common Issues
    • Urgent Symptoms
    • Newborn Concerns
    • Well Child Visits
    • Growth by Age
    • Just for Teens
  • Patient Resources Patient Resources

    Patient Resources

    Trusted information for the care of your child.

    • Acetaminophen/Ibuprofen Dosage Charts
    • Healthychildren.org
    • Helpful Links
    • New Patient Information
  • Medical Forms Medical Forms

    Medical Forms

    Downloadable forms including sports forms.

    • Full List
  • Contact Contact - 616.393.0166

    Contact – 616.393.0166

    No matter what you need, we’ve got you covered.

    • Hours
    • Appointments
    • Advice Line Nurse
    • Urgent Appointments
    • After Hours
    • Medication Refills
    • Billing
    • Location

Medical Forms

Medical Forms

General Forms

Caregiver Consent Form – English

Caregiver Consent Form – Spanish

Health Appraisal Form

Records Release Form to HPA – English and Spanish

Records Release From from HPA – English and Spanish

Sports Physical Forms

Allegan sports

Black River sports

Calvary Sports

Fenville Sports

Hamilton Sports

Holland Christian High School sports

Holland Christian Middle School sports

Holland Public sports

Hudsonville sports

Saugatuck sports

West Ottawa sports

Zeeland sports

Preschool Applications

Preschool Application English

Preschool Application Spanish

Holland Pediatrics
926 Washington Avenue, Building C, Holland, MI 49423
Tel: 616.393.0166
Fax: 616.393.0167
  • About About

    About

    Holland Pediatric Associates is committed to providing the best healthcare for all children.

    • Medical Providers
    • Who We Are
    • Our Team Approach
    • Policies
  • Health Info Health Information

    Health Information

    Our approach to pediatric healthcare – practicing evidence based medicine.

    • Symptom Checker
    • Patient Portal
    • Our Approach
    • Vaccines
    • Common Issues
    • Urgent Symptoms
    • Newborn Concerns
    • Well Child Visits
    • Growth by Age
    • Just for Teens
  • Patient Resources Patient Resources

    Patient Resources

    Trusted information for the care of your child.

    • Acetaminophen/Ibuprofen Dosage Charts
    • Healthychildren.org
    • Helpful Links
    • New Patient Information
  • Medical Forms Medical Forms

    Medical Forms

    Downloadable forms including sports forms.

    • Full List
  • Contact Contact - 616.393.0166

    Contact – 616.393.0166

    No matter what you need, we’ve got you covered.

    • Hours
    • Appointments
    • Advice Line Nurse
    • Urgent Appointments
    • After Hours
    • Medication Refills
    • Billing
    • Location
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