New Patients

Patient Registration - If you are a new patient, please complete this form and bring it with you to your first appointment.

Records Release TO Growing Up Children's Clinic - Please complete this form so that your child's medical records can be released TO Growing Up Children's Clinic from your previous medical provider.

Health History Form - Printing and filling out this form at home will save you additional time in our office before your visit.

Consent to Treat/Medical Records/Privacy Form - Please complete this form to notify us as to the individuals who may bring your child to the office for treatment. Without this form, we will be unable able to deliver medical service to your child if he or she is accompanied by someone other than the listed parent(s)/ legal guardian.

Privacy Notice - If you are a new patient, we will ask you to read our Privacy Notice. To save you time in the office, please read our Privacy Notice and then sign the Consent to Treat/Medical Records/Privacy Form (above) and bring it with you to your first appointment.

Routine Health Care Schedule - This is for your information. It provides the schedule we follow for your child's checkups and immunizations as he/she is growing up.


Established Patients
Physicals