Atrium Health Levine Children's Rock Hill Pediatric Associates

Meet the Team
Locations, Hours & Contact Information

The physicians at Atrium Health Levine Children's Rock Hill Pediatric Associates, located in Rock Hill and Fort Mill, SC, have provided outstanding care for children for more than 30 years and hope to strengthen and maintain your child's health for many years to come by developing a productive patient-physician relationship.

Services Provided at Atrium Health Levine Children's Rock Hill Pediatric Associates

Pediatric and adolescent medicine
Newborn care
Physicals
Immunizations
24-hour telephone coverage
Prevention and management of chronic illnesses
Minor procedures and injury treatment
Childhood illness treatment
Developmental screenings
Laboratory Services
Nutrition
Flu shot clinics
Hearing and vision screening
Prenatal visits

Patient Forms

Atrium Health Levine Children's Rock Hill Pediatric Associates provides new and existing patients the following packet and forms for download to fill out and bring to your appointment as requested.

New Patient Forms

New Patient Packet (PDF)
Pediatric Registration Form (PDF)
How Did You Hear About Us? (PDF)
Eligibility Screening Record Form (VAFAC Eligibility) (PDF)

Release of Medical Records

Authorization for Release of Health Information (PDF)
Acknowledgement Form (HIPAA) (PDF)

Sports Physical Form

Parent and or patient should complete the history section of the form prior to seeing the physician or dropping off the form for physician signature. Please keep in mind that South Carolina schools require that the physical exam must have occurred on or after April 1st for the upcoming school year.

South Carolina Sports Physical Evaluation Form (PDF)