New Parent Information Link
American Academy of Pediatrics (AAP)
Chadis Questionnaires
Bethesda Breastfeeding

New Patient Forms
- Patient Information Form
- Notice of Privacy Practices Acknowledgment Form
- Patient Authorization Form

Patient Financial Policy
- Patient Financial Policy

Patient Portal
- Patient Portal Entry

Prescription Refill (Please note that all Prescription Refills are now being handled only through the Patient Portal or email.)
- Patient Portal Entry
- Prescription Refill

Patient Referral Request (Please note that all Prescription Refills are now being handled only through the Patient Portal or email.)
- Patient Portal Entry
- Patient Referral Request

Medical Records Release Form
- Medical Records Release Form

ADHD
- Parent Initial
- Parent Follow Up
- Teacher
- Teacher Follow Up
- Spanish


School/Camp Immunization and Physical Forms

Please allow 3-4 business days for the completion of any school or camp form.  There is a $15 fee to fill out your form and a $5 rush fee to fill it out sooner than the 3-4 day normal time frame.  If you have an upcoming physical for the patient we encourage you to bring the form it at that time so there is no charge for filling out the form.  If you forget your form at your physical appointment you can bring the form in within 5 days of the well visit and we will fill it out for you at no charge.  Please make sure the name of the patient is on the form and the parents portion is completed before turning in to our office.  Please do not fill out the physician section and submit to us for a signature only.  Doing so still results in a charge of the form fee as we still go over everything to be sure it is filled out correctly.  We receive hundreds of forms a month, so the earlier you get them in the better!

Thanks for your patience!!

- Montgomery County Health Inventory
- Montgomery County Medication Form
- DC Health Forms


Patient Satisfaction Survey

- Patient Satisfaction Survey

Adobe Acrobat .pdf Reader
- Download the Free Adobe Acrobat .pdf Reader

  • New Extended Hours
    We will be extending our phone and office hours in May 2010 as follows:
    Tues. and Thurs. both offices will open from 7am-7pm for appointments. Our phones on these days will be available from 7am-5pm.
    Mon., Wed. and Fri. hours remain 8:30am-4:30pm. If you have any questions or would like to schedule appointments for our extended hours, please contact the office starting March 1.

    New Doctors!
    Children First Pediatrics is proud to announce the association of Paul Porras, M.D. joining on June 1, 2010 and Erica Rupar, M.D. joining on June 28, 2010 Both physicians are eager to meet our patients! Their schedules will be available for to make appointments starting March 22, 2010!

    Silver Spring Office
    10301 Georgia Ave. #106
    Silver Spring, MD 20902
    (301) 681-6000

    Rockville Office
    2401 Research Blvd. #370
    Rockville, MD 20850
    (301) 990-1664


    We offer ear piercing at both locations!