***At this time, we are not accepting new patients. Please contact our office or visit the website in the new calendar year of 2023 to register as a new patient.***
- Patient Information Form
- Insurance Waiver Form
- Authorization for Vaccine Administration
- Family History Summary
- Medical History Form
If you wish to transfer your care to our practice, please complete these forms.
We request that you also obtain your previous medical records for our physicians to review. This will afford you the best possible medical care. We must have your previous vaccinations records by the time of your visit. Ideally these will be submitted to us prior to your appointment so they may be documented. Thank you for choosing Centre Pediatric Associates, PC.