Mon–Fri 9AM–5PM · Same-day sick visitsLydia Elias, DO (310) 953-0020 office@lighthousepeds.com Torrance, CA
Lighthouse Pediatrics
ES(310) 953-0020Book a Visit
Patient forms

Photo & Video Authorization

About 2 minutes. Your permission before your child appears in our photos, videos or posts.

Step 1 of 4Child and parent

Child and parent

Your answers go securely to our clinic and become part of your child’s chart. At the end you can download a PDF copy.

Prefer paper or a PDF?

Your child

You

Relationship to the child