New patients & forms

Your first visit, made simpler.

Download the four first-visit forms below, complete them at home, and bring them with your insurance card and photo ID.

Bring these to your appointment

Four forms for new patients

Open each PDF, print it, and complete it before you arrive. If you cannot print at home, call your chosen office.

Share your child’s health history, medications, allergies and family history.

Provide patient, guardian, insurance and contact information.

Review and acknowledge privacy and communication preferences.

Review payment, insurance and account policies before your visit.

Before you arrive

Forms may take up to three business days to process.

Medical records

Choose the form that matches where your child's records need to go. Processing may take up to three business days.

Authorize your previous practice to send records to HNR Pediatrics.

Authorize HNR Pediatrics to release records to another provider.

Questions about paperwork?

Our team can tell you which forms apply to your appointment.