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Need Medical Records? Contact ChartRequest

ESD Pediatric Group is outsourcing requests for outgoing medical records to ChartRequest.  All requests for outgoing medical records are being handled in accordance with HIPAA and state of Ohio regulations by ChartRequest.

Please go to and select Request A Record and Sign Up or Sign In to obtain your requested records OR to check the status of your requested records. After you place this request, your records will be available in seven – ten business days or sooner.


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ESD Pediatric Group currently has openings for Certified Medical Assistants and Medical Billing/Administration positions.  Candidates would work primarily at the Milford office.   If you are a mature, professional, kid loving individual who enjoys being part of a dynamic team, please submit your resume to

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We are pleased to announce Rick Berger, MD will be joining the ESD team on Monday, October 29, 2018!

Prior to joining ESD Pediatric Group, Dr. Berger practiced in Northern Kentucky for 17 years.

Dr. Berger will be be seeing patients at both the Milford and Smith Road offices.

Dr. Berger is a lifelong resident of Cincinnati.  He grew up in the gaslight neighborhoods of Clifton.  He graduated from St Xavier High School in 1988.  He received his bachelors of science from Indiana University, Bloomington in 1992 and completed his medical training at the University of Cincinnati College of Medicine in 1997.  Dr. Berger completed a residency in pediatrics at the University of Louisville.  Following residency he spent a year as Chief Resident at Kosair Children’s Hospital in Louisville.  Despite the lure of sub-specialty pediatrics, Dr. Berger knew that nothing would replace his desire to be a pediatrician.

Dr. Berger and his wife, Amie, have three children, two girls and a boy.  He enjoys spending time with his family, especially sporting events.  He particularly enjoys soccer and basketball.  However, he is perfectly content and proud to be a spectator of youth sports now.

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Spring has Sprung!  Before you know it your child will be participating in school sports. The deadlines for submitting these sports forms varies with each school and sport.   It is important for your child’s health and well being to have the sports physical performed by your child’s pediatrician.

If you’re the parent of a young athlete, you’re likely familiar with sports physicals. You’ve seen the ads for them: short wait times, no appointment needed, open seven days a week. But are these quick medical check-ups the best way to monitor your child’s health? Not at all.

Sports physicals should be part of routine preventive care done by your child’s primary care provider. Here’s why:

  • Better care. Physicals performed during part of a yearly well care visit are more comprehensive than rushed clinic visits.
  • Better cost. Usually well care visits are fully covered by insurance at your pediatrician’s office. Why pay for a separate visit to a clinic?
  • Better access. Physicals are good for one year — or one year plus 30 days — from the date of a well care visit. If your child has already had a checkup within the past year, it’s likely a separate sports clinic visit isn’t needed at all. You’ll just need to fill out the paperwork, have it signed by the doctor, and turn it in to your child’s coach.

Sports physicals, also called pre-participation physicals, were developed by physicians and put in place to detect serious conditions and injuries before young athletes start playing a sport. They are typically needed for student athletes in grades 7-12, and they are required by all schools in Ohio and Kentucky.

Here are the top things you need to know regarding sports physicals and annual well care visits for your child:

  • Continuity of care is important. Your child has a continuous relationship with his or her primary care provider. When a physician knows your child’s health history, habits, and personality, he or she can more easily recognize signs that might signal a change in your child’s health.
  • A well care visit covers so much more. When your child’s pediatrician performs a routine preventive well care visit, it encompasses screening for behavioral and mental health problems; learning difficulties; tobacco, alcohol, and substance use; social problems; and sexual activity. Pediatricians also monitor growth and development, conduct a comprehensive physical examination, address previous and current medical problems, update immunizations, perform recommended screening tests, and give anticipatory guidance. These are all critical pieces of a child’s full health history.
  • Clinic visits are often cursory. Some schools and coaches recommend sports physicals at a clinic in a school gym or at a retail-based health center. This type of exam is often performed without the child’s complete medical history and often without a parent. The preventive care issues mentioned above are rarely addressed. There is little to no communication back to the primary care doctor. In short, this exam doesn’t address the whole scope of your child’s health.

As a pediatrician, I encourage physical activity for all children. I believe that playing sports fosters physical fitness, improves self-esteem, and promotes teamwork. Pediatricians also believe that children deserve quality health care. Do not allow anyone else — schools and coaches included — to pressure you into the notion that speed is more important than quality when it comes to your child’s health.

Sports physicals don’t have to be difficult. Use these tips to make them easier for your family:

  • Prep ahead. Check with your child’s primary care provider to see if they have extended hours on certain evenings or weekends. Many of them offer this, especially during the summer months before fall sports start.
  • Know the rules. Both Ohio and Kentucky require a sports physical form to be on file with the school before the first practice. But physical exams are valid for one year or one year plus 30 days — so a well care visit in March will cover a child’s fall sports physical exam requirement. Bylaws with complete rules can be found here:
  • Ask for help. Most pediatricians are willing to work with you on scheduling an appointment if you’re in a rush to get the pre-participation form filled out prior to your child’s first practice.

When you ensure your child continues to have annual well care check-ups throughout their teen years, you’re doing more than just fulfilling their sports physical requirement. You’re also helping to develop a healthy habit that will hopefully last a lifetime

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Exciting News! Pre-visit check in is now available! Simply click the link in the appointment reminder message and complete the forms necessary for your child’s visit.

Your time is valuable; don’t waste it in the waiting room. Take a few minutes to complete the check in process BEFORE arriving at the office.  Pre visit check in can be completed from your smart phone, computer or tablet device.

If for some reason, you are unable to complete the check in process BEFORE arriving at the office, plan to arrive 15 minutes before your scheduled appointment time to complete the necessary paperwork.

ESD is evolving to provide your family with the best possible health care.

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Milestones matter! Track your child’s milestones from age 2 months to 5 years with CDC’s easy-to-use illustrated checklists; get tips from CDC for encouraging your child’s development; and find out what to do if you are ever concerned about how your child is developing.

From birth to age 5, your child should reach milestones in how he or she plays, learns, speaks, acts, and moves. Photos and videos in this app illustrate each milestone and make tracking them for your child easy and fun!


  • Add a Child – enter personalized information about your child or multiple children
  • Milestone Tracker – track your child’s developmental progress by looking for important milestones using an interactive, illustrated checklist
  • Milestone Photos and Videos – know what each milestone looks like so that you can better identify them in your own child
  • Tips and Activities – support your child’s development at every age
  • When to Act Early – know when it’s time to “act early” and talk with your child’s doctor about developmental concerns
  • Appointments – keep track of your child’s doctors’ appointments and get reminders about recommended developmental screenings
  • Milestone Summary – get a summary of your child’s milestones to view, and share with or email to your child’s doctor and other important care providers

Learn more at 

The use of this app is not a substitute for the use of validated, standardized developmental screening tools as recommended by the American Academy of Pediatrics.

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The Ohio Chapter, American Academy of Pediatrics is launching a new immunization advocacy group that is led by parents called Ohio Parents Advocating for Vaccines (PA4V).

Who we are: Ohio PA4V is a group of Ohio parents advocating for vaccines and spreading accurate information about the disease burden, safety and effectiveness of vaccines. Some of us are vaccine-preventable disease survivors, parents of immuno-compromised children, or parents of healthy children because of immunizations. All of us are fierce advocates for combatting misinformation on vaccines!

Why we care: We vaccinate our children (if medically possible) for their own health and safety, as well as the health and safety of our community. Ohio’s immunization rates for children and adolescents are NOT where they need to be for all of our children to be protected from potentially dangerous vaccine-preventable diseases. The misinformation has scared parents, and it is time to set the record straight.

What we do: We share factual information and stories about vaccines! Here is how to get involved:

Join PA4V! There is no membership fee, and we don’t ask anything from you expect to occasionally share our social media posts to get the word out about the truth around vaccines. You can sign up here

Share the facts! Go to to get access to resources you can share with your friends, family and on social media.

Share your story! Go to and share your story about why immunizations are so import to you and your family. You can do this with a sentence or two or a video you upload.

Participate in our upcoming #iVAX campaign! Publicly share that you understand the importance of vaccinating yourself and your family against vaccine preventable diseases.

Find us on Twitter and Facebook! Twitter:


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Why is HPV Vaccine Important?

Every year in the United States, 31,000 women and men are diagnosed with a cancer caused by HPV infection. Most of these cancers could be prevented by HPV vaccination.

HPV vaccination prevents more than just cervical cancer. Vaccination can prevent uncomfortable testing and treatment even for cervical precancers. Each year in the U.S. more than 300,000 women endure invasive testing and treatment for lesions (changes in the cells) on the cervix that can develop into cancers. Testing and treatment for these “precancers” can have lasting effects.

However cervical cancer only accounts for 1 in 3 cancers caused by HPV infection. While there is screening for cervical cancer, there is no routine screening for the other 20,000 cancers caused by HPV infections each year in the United States. Often these cancers—such as cancers of the back of the throat (oropharynx) and cancers of the anus/rectum—aren’t detected until later stages when they are difficult to treat.

School will be out soon, and many families will be getting ready for summer vacations, camps, and other fun activities. Before you start your summer, make an appointment for your preteen’s vaccinations. Vaccines help your kids stay healthy, and many states require certain vaccinations before school starts in the fall. While your kids should get a flu vaccine every year, there are three other vaccines for preteens that should be given when kids are 11- 12 years old. Talk to your child’s doctor about Meningococcal, HPV, and Tdap vaccines or visit today.


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Cincinnati Children’s Announces New Parent Resources

Cincinnati Children’s is proud to announce a variety of resources for New Parents available by visiting

Having a new baby can be an overwhelming adventure.  Cincinnati Children’s has created a one stop resource to find answers to many of the questions facing new parents.

The resource includes:

  • General information such as Maps to Cincinnati Children’s and an overview of the services provided at Urgent Care vs. Emergency Department
  • Infant Wellness including topics on nutrition – breastfeeding and bottle feeding; Medication administration; Commonly diagnosed conditions – constipation, fever, jaundice, etc. and common concerns-crying, diaper rash, umbilical cord, etc.
  • Immunizations and Vaccines including information on Flu Vaccines, Vaccine Schedules, Vaccine and Immunization fact sheets and a link to the CDC website
  • Injury Prevention topics including Car Seat Safety; Household safety and Outdoor and Recreation safety


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