New Patients
Welcome to Metropolitan Pediatrics! Please complete the enrollment paperwork and review our clinic policies prior to your first visit.
- New Patient Forms – Complete this required paperwork to begin the enrollment process.
- Patient Care & Policies – Review important clinic policies, including our Treatment Consent, Billing & Financial Policies, Notice of Privacy Practices, and Genetic Privacy Notice.
Appointments & Care Permissions
Use these forms to authorize other adults—such as caregivers or family members—to assist with your child’s care.
- Permission to Treat Form – Authorizes another adult to accompany your child to appointments and consent to medical care when you are unavailable.
- Permission to Communicate Form – Authorizes another adult to discuss your child’s appointments, care, or billing with our staff.
Note: This authorization is for verbal communication only. It does not grant permission to request medical records or make changes to your child’s health information.
Patient Portal (MyHealth)
- MyHealth Proxy Access Form – Grants a designated person (proxy) permission to access the patient’s MyHealth account and online medical records.
Note: Patients 14 and older must grant permission for a parent or legal guardian to access their MyHealth account, or they may choose to have their own private account.
- Learn More About MyHealth – Information on managing family member accounts and navigating the portal.
Medical Records
- Release of Protected Health Information Form – Use this form to request medical records be transferred to or from Metropolitan Pediatrics, or to allow written/verbal communication with a school or daycare.
Note: Please only complete this form if records or communication are required within the next 30 days.
Sports & School Participation
- OSAA Sports Examination Form – Required physical examination form for student-athletes participating in organized school sports.
ADHD Assessment / Initial Evaluation (Vanderbilt Teacher Forms)
The Vanderbilt Assessment Scales are standardized tools used to screen for and monitor Attention Deficit/Hyperactivity Disorder (ADHD) in children ages 6 to 12. If you are concerned about your child’s behavior, please speak with your provider to determine if an evaluation is appropriate.
- Teacher Questionnaire – Completed by the teacher to provide baseline context, including behavioral or learning observations, academic progress, test results, and classroom assistance or special education services.
- Vanderbilt Teacher Assessment Scale – Initial screening questionnaire completed by the teacher to assess the child’s classroom behavior, focus, and impulse control.
ADHD Follow-Up Visits
- Vanderbilt Teacher Follow-Up Form – Progress questionnaire completed by the teacher to monitor the child’s behavior and treatment effectiveness over time.
Billing & Financial Assistance
- Financial Assistance Application – Request a review for reduced monthly payments or discounts if you are experiencing a change in financial circumstances or are unable to pay your bill.
Need Help?
If you are unsure which form you need or have questions while filling them out, our teams are here to help.
- Scheduling: 833-PDX-KIDS
- Medical Records: 503-601-3417
- Billing: 503-466-1668
Quick Actions
Book appointments or access your records online.
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Frequently Asked Questions
What insurance plans do you accept?
We accept a wide variety of commercial insurance plans, Medicaid/OHP, and self-pay options. Please view our Billing & Insurance page for a complete, up-to-date list of covered networks.
Can a grandparent or nanny bring my child to their appointment?
Yes, but only if you have completed and submitted our Permission to Treat form prior to the visit. Without this signed authorization, we cannot legally provide routine care to your child if a legal guardian is not present.
When should I schedule my baby's newborn checkups?
Newborn checkups should typically be scheduled within 2 to 3 days of leaving the hospital. You can fill out your new patient enrollment forms online ahead of time to make your first visit as seamless as possible.
Why does my 14-year-old have to sign a proxy access form for the portal?
Under Oregon state law, minors 14 and older have specific confidentiality rights regarding their healthcare. Because of this, teenagers must explicitly grant permission for a parent or legal guardian to access their online MyHealth portal records.
What if I cannot afford my bill or have experienced a change in financial circumstances?
We believe every child deserves quality care. Please download and submit our Financial Assistance Application, and our billing team will work with you to explore payment plans, discounts, or balance adjustments.