Become a Patient

New Patient Information

We are currently accepting new patients into our practice. Thank you for considering us.

Please complete new patient paperwork prior to your appointment and bring all relevant medical information with you, such as vaccination history. If you were unable to complete them in advance, when you arrive for your appointment we’ll ask you to complete some initial forms, including a Consent for Treatment form.

To make sure there are no delays in care during your first visit experience, please arrive 15 minutes prior to your scheduled appointment to ensure your registration is complete before meeting with your new provider.

In an effort to respect the time of all of patients, our staff strives to stay on schedule so that other patients do not have to wait. For patients who are delayed and arrive late for an appointment, we make every effort to see you the same day. However, in order to respect the time of all patients, wait times may apply, or appointments may need to be rescheduled.

Easy Communications
New patient registration is simple through our Child+Patient Portal. The portal is a safe, secure section of our website that allows you to complete the paperwork required for new patient registration, request appointments, order prescription refills, in addition to viewing and printing patient medical records, including growth charts, immunization records, lab results and more. Click here to go to the Child+Patient Portal.

Transferring From Another Practice?
If you are transferring your child’s care from another medical practice, call our office to receive your login and temporary password in order to register on the Child+Patient Portal or to schedule an appointment. We may also have you talk to our business office to gather your insurance information.

Initial Appointment
All we need initially to get an appointment set for your child is the following:

  • Child’s Full Name
  • DOB
  • Best Phone Number
  • Email address (forms can be sent to you by email or download on our site until Portal is completed)
  • Insurance Information (found on your insurance card)
  • Insured name
  • Reason for your visit

Your Checklist
Here is a checklist of what you should bring to the office for your first visit:

  • Insurance card
  • Driver’s License
  • Immunization card: we will make a copy and scan into our computer system
  • List of current medications

Also, you may go to forms, print and fill out and bring the new patients registration form to your first visit.

If you already have copies of your prior medical records, you do not need to fill out the Transfer of Records form, but please bring the records with you and leave them with us and we will scan them into your child’s patient record, and return your originals at checkout.

Individualized Attention
If you are making your first visit as a well child visit and your child has complex medical issues (like developmental, medical syndromes or chronic diseases that are not well controlled) those conditions will need to be reviewed. Please let us know this type of information so we can schedule extra time for that first visit.

Patient Centered Care
We take pride in being a patient-centered group of professionals focused on offering comprehensive medical, health, and wellness pediatric services. As your child’s primary care provider, we believe in the continuity of care and developing a collaborative relationship between your child, parent, and the doctor.

Patient Forms

Consent for Treatment

Office Policies

Privia Notice of Privacy Practice

HIPAA Privacy Notice

New Patient Registration

Financial Policy

Prenatal Registration

Immunization Registry (IMMTRAC) Consent Form 

Notice of Privacy Practices

Office Policy

Medical Record Release

Assignment of Benefits

ADHD Registration Form for Parents

ADHD Follow Up Form for Parents

ADHD Registration Form for Teachers

ADHD Follow Up Form for Teachers