Boulevard Center Pediatrics


"Where your children are the center of our attention!"


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patient portal/Forms



Medical Records



Patient Portal - CURRENT PATIENTS ONLY





For your convenience, you can access your child's Complete Medical Record or their Immunization Record via the Patient Portal. Please call our office at 703-670-0300 if you have lost your login information or need access for the first time. Secure Messages and Appointment Requests can be sent here as well.


Please DO NOT use the portal for emergencies or for requests for medical advice.


To request your child's username or to reset your password, please call the office at (703) 670-0300. Authorized parents and guardians will be granted access to this information.


COVID Vaccination Record Request Portal



FORMER PATIENTS





Medical Records Requests (Fee for this service) can be made via our main office number at (703) 670-0300 and then by faxing in a Medical Records Release Form to (703) 291-5331. Contact CPR, Inc. at (571) 481-2455 for any billing inquiries.


*Our office has records only for Boulevard Center Pediatrics patients and not for any former practices.



mobile app





Get immediate secure access to your child's medical records, including labs and immunizations right from your computer, or smartphone with the Healow app: https://www.healow.com/app.html.



FORMS





Consent Form - Permission to allow someone other than Parents or Legal Guardian to bring patient in for their appointment.


Medical Records Release - To send records out


Medical Records Request - To have records sent to us


Commonwealth of VA School Entrance Form - For Day Care/Preschool/Kindergarten or Changing Schools (Fee to complete this form)


Sports Physical Form - For Middle School & High School Sports. Form is valid from May 1 to the end of the following school year per VHSL. (Fee to complete this form.)





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