New Patient Information

Welcome to The Pediatric Clinic  

We want to get started right away.  Below are the necessary forms to make your transition to our office. The first step is to allow us to obtain a copy of your child’s medical records.

Click on the link below to download.

• Transfer to  The Pediatric_Clinic (Release of Medical Information)- (PDF)

Other information that we will need that you can complete ahead of time:

• Insurance Information 2012 (PDF)
• New Patient Pediatric Medical History Information2012(PDF)

NOTE: All of the information posted here requires the FREE Adobe Acrobat Reader to view and print the files.