Patient Forms

Fill Our Forms

New Patient Form

New Patient Form
Medical History

(Please fill out both New Patient and Medical History Forms)

Montgomery County School Forms

MCPS Health Assessment Form
MCPS Sports Participation Form
Epinephrine Authorization Form
Medication Authorization Form

ADHD Assessment Forms

Vanderbilt Parent
Vanderbilt Teacher

Maryland WIC

WIC Form
Schedule An Appointment At Maryland Pediatric Care

Monday thru Friday
8:30am – 5:00pm
Open first three Saturday’s of the month
9:00am – 12:00pm
Saturday hours are only for same day sick appointments.

Contact Our Pediatricians at Maryland Pediatric Care

Contact us

301-424-2400
Visit Our Pediatric Clinic At 19514 Doctors Drive Germantown, MD 20874

Aniqa Malik, MD. FAAP
19525 Doctors Drive
Germantown, MD 20874

Call 911 in case of a child emergency

When the office is closed, you have several options. Always call 911 for a true medical emergency.

Call 911
After Hours Care
Maryland Pediatric Care Location On Map