New Patients

Before your child’s first visit, please complete the new patient forms listed below and bring them with you to the appointment. 

 

 

• Registration Form
• Notice of Privacy Practices
• Consent to treat & acknowledgement of review of notice of privacy practices
• Delegation of consent
• Immunization registry
• TVFC eligibility
• Medical Questionnaire
• Record Release

Pediatrics

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If you need more assistance, then kindly call us at 832-222-5437.