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New Patient Paperwork

Pediatric intake paperwork.

Complete your child's intake forms online before their first visit and save about 25 minutes at the office. Secure, HIPAA‑compliant, and you can pause and come back anytime.

HIPAA‑Compliant
~20 Minutes
Save ~25 Min at Your Visit

What to Expect

Three quick sections.

The pediatric form covers a bit more than the adult version to help us deliver the safest, most personalized care for your child.

1
Your child's information
Name, date of birth, parent/guardian contact info, and how you heard about us. Takes about 3 minutes.
2
Health & history
Birth history, developmental milestones, current concerns, and family medical background. This helps us tailor care to your child.
3
Consent & review
Review your answers, sign the standard pediatric consent as parent or guardian, and submit. We'll see you at your appointment.

Questions or Prefer In-Person?

We're happy to help you get started.

If you'd rather fill out paperwork at our office, or if you have questions about pediatric care before your child's first visit, just give us a call or book an appointment and we'll take care of the rest.

Book First Visit (210) 343-5209