New Patients 

This page contains links to patient registration forms and useful information for our new families.

New Patient Website Packet

Packet of New Patient Information Forms that includes:

    • Patient / Family Information Form
      • Please use full legal names of children and include middle initials.
        • If your child has a preferred nickname, please include this as well.
      • For parents, please use full legal names, including middle initial.  This is especially true for policy holders, so that names match.
    • HIPAA / Insurance / Acknowledgement
    • Medical History
    • Financial Policy
    • Medical Records Transfer Request
      • Whenever possible, we ask that vaccine records be requested in advance of the first appointment and either faxed/emailed to our office, or brought to the first scheduled appointment.

Care Authorization Form

Complete this form to authorize additional family (step-parents/grandparents/other family) and/or friends to bring your child(ren) to appointments and make medical decisions on your be