9217 U.S. Hwy. 42 - Prospect, KY 40059
Phone: 502.228.1312 | Fax: 502.228.5541
A division of ONE Pediatrics, PLLC
ALL PATIENTS, existing and new, please complete the updated patient registration form.
If you are new to our practice please print out this form and return
it completed to our office on your first visit.
Consent For Emergency Medical Care Form
Transfer Form for Transferring to Prospect Pediatrics