New Patient Introduction

Before your first office visit, please print and fill-out all of the following new patient forms:

New Patient Forms Pages #1-2
New Patient Forms Page #3
New Patient Forms Page #4

Also, please bring the following items:

• Parent’s driver’s license
• Child’s insurance card
• Child’s social security number
• Any prescriptions that the child is taking in their original bottles
• **If you are a legal guardian, please bring appropriate documentation

For the first office visit we require a parent or legal guardian bring the child. For future appointments, another individual may bring the child as long as the parent has given written consent ahead of time. That individual is required to bring photo identification. This consent can be found at the bottom of the first page of the new patient forms.

If you have an appointment to see one of our dietitians, please fill out the assessment form before your visit:

New Patient Initial Nutrition Assessment