New Patients

Thank you for your interest in Ertel Medicine & Pediatrics. Our goal is to provide exceptional medical care with added conveniences and amenities that make it easier to heal. Some of these include: the onsite pharmacy, separate sick and well waiting areas and the ability to call the same day and get a FastTrack appointment. All of these extras have been developed to care especially with our patients in mind.

For your convenience the necessary paperwork is provided in PDF format below:

Adults
(18+ years old)
Pediatric Patients
(2 - 17 years)
Newborn
(Under age 2 years)
History Page One
History Page Two
Registration Information
Office Policies
HIPAA Privacy Consent Form
HIPAA Brochure -Pg 1
HIPAA Brochure -Pg 2
History Page One
History Page Two
Registration Information
Office Policies
HIPAA Privacy Consent Form
HIPAA Brochure -Pg 1
HIPAA Brochure -Pg 2
Pediatric Reminder to bring Immunization Records
Newborn Parent Questionnaire
Registration Information
Office Policies
HIPAA Privacy Consent Form
HIPAA Brochure -Pg 1
HIPAA Brochure -Pg 2

If you have a question regarding your new appointment or you need to make an appointment, please call the office at 859.744.0067. We look forward to meeting you.

 Winchester  Kentucky  KY
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 Winchester  Kentucky  KY