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Planning Your Visit to Pediatrics

You will need to bring the following documents with you to your visit:

  • Picture Identification (drivers license)
  • Insurance Card
  • Co-pay (We accept cash, checks, and all major credit cards)
  • For Minors (non-emancipated children under the age of 18), we require a written authorization for treatment from a legal guardian.

Download Patient Forms

For your convenience, you may print out and complete the following prior to your visit:

HIPAA Privacy Policy HIPAA Privacy Policy (29 KB)

Acknowledgement of Receipt of Privacy Policy Acknowledgement of Receipt of Privacy Policy (15 KB)

Patient Intake Form Patient Intake Form (19 KB)

Urgent Care Records Request Form Urgent Care Records Request Form (47 KB)