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 (29 KB)

Acknowledgement of Receipt of Privacy Policy (15 KB)

Patient Intake Form - Urgent Care (19 KB)

Urgent Care Records Request Form (47 KB)