Step 2. Submit PIAA Online Form
PIAA Online Forms
Patients must complete and submit PIAA Form 24 hours before scheduled appointment:
Key Items to Complete
Printed Items to Bring to PIAA Exam
- Print Out Completed PIAA Form***
- $30 PIAA Exam Fee
* Completing the Peds 360+ online PIAA Form will fast-track and accelerate the PIAA exam onboarding process. NOTE: Sections 1-5 must be completed.
** The manual PIAA form will delay your overall PIAA exam wait time. NOTE: Sections 1-5 must be completed.
*** If you are having technical difficulties, you may email piaa-forms@peds360plus.com.