Pediatric Practice Examples Library

Need a sample form letter? Are you creating job descriptions for your staff, or designing a new policy for your practice? The Pediatric Practice Examples Library is here to help! In the tabs below, you’ll find PCC’s “Sharing Depot” of useful materials contributed by pediatric offices around the country.

Share and Contribute: If you’d like to contribute your practice’s materials for other pediatric practices to use, contact your Client Advocate. All content is free to use and share, and all practice identifiers are removed before publication.

Policies, Announcements, Posters

Policies and Announcements for Patients and Families

What do you give to new families who join your practice? Do you communicate important policies, like financial policies or your practice’s stance on vaccines? In this section you will find example announcements, letters, and other communication materials from pediatric practices.

Letters

Your Credit Card Will Be Billed For Balance Due

Policies and Announcements

Posters, Flyers, Display Cards

Diversity Poster (JPG, PDF)

Forms

Forms for Patients and Families to Fill Out

Do you have each family fill out a demographic form? Do you use special forms at flu clinics, or for when you keep a credit card on file? In this section, you will find forms used by pediatric practices.

Job Descriptions

Job Descriptions for the Pediatric Practice

When you create and update job descriptions for your practice, or advertise for a new position, it can be helpful to see successful examples from other practices. Check out the sample job descriptions below.