New Patients

The first visit to the office requires a lot of administrative time. Records from previous pediatricians, immunization records, insurance information and patient information sheets must be reviewed. Please arrive 15 minutes earlier than your scheduled time to allow for this process.

Federal laws require us to provide assurance of privacy and to attest that we will keep your personal and medical information confidential.

In addition, we need to give you information about our privacy practices, financial policies and have you sign to confirm that you have received that information. To makes things go faster at that first visit, please complete a printed copy and bring the forms with you.

Key Forms

Download
New Patient Registration Form*
Medical Record Request Form (to send to previous pediatrician)*
Medical Record Request Form (to send to NEW pediatrician)*
Notice of Privacy Practices*

If the first visit is a Newborn Visit, recently discharged from the Newborn Nursery, please bring all records; immunization card, hearing test results, metabolic screen receipt and discharge summary.

*You must have an Acrobat Reader to view the Acrobat files. If you don't already have Adobe Acrobat, you can download the Acrobat Reader Free.

»  Back to Top