NOW:  COVID TESTING for our patients being done in our office.  Call 317-621-9000 weekdays for an appointment.
5/13/21:  COVID-19 VACCINE for teens age 12 and older can be scheduled beginning 5/13/21 by visit or calling 211.  Northpoint Pediatrics is not currently a vaccination site, however, our pediatricians are strong believers in the vaccine and recommend it for those eligible.  You can learn more about eligibility at    
Get Medical Advice:  Helpful resources to help you know how to best care for your child.

Immunization Record Request Form

Patient Information
Contact Information
Give first and last names
Use the format 317-555-1212
Use the format MM/DD/YYYY
Use the format 317-555-1212
Give first and last names
Additional notes or questions
How would you like to receive your immunization copy?

Notes About this Form

Other Types of Medical Record Requests Need a Release of Records Form Completed

+Release of Records

Print the form, complete it and email to us and we will process your request.  For example copies of the chart, labs and referral letters.

To release vaccine records directly to a third party, such as a daycare or school, the parent must complete a release of records.  Once receiving a vaccine record from us, many of our parents forward vaccine records to the daycare or school themselves and then have an email trail!

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