Pediatric Services welcomes new patients. Choosing the right pediatrician for your child is one of the most important decisions you will make. By selecting Pediatric Services, you can feel confident and comfortable that you have made the right decision.
To understand what to expect for your child's first visit to our practice, please read through this page.
What to Expect
On the day of your child's first visit to our office, we recommend arriving a few minutes early. This allows extra time for finishing up any registration forms and ensures you have plenty of time to get acquainted with our staff and office. We look forward to meeting you and joining with you to help your child maintain optimal health.
Our Mission
Our practice is working together to build life-long relationships between our staff and our patients by consistently providing our patients with compassion, excellence and value. To fulfill this mission, we are committed to:
- Improving the lives of the children we serve by providing quality care in a child-centered environment.
- Listening to our young patients and their families who we are privileged to serve.
- Guiding our patients along a path of optimal health and wellness.
- Continually pursuing excellence at all levels through continuing education.
Patient Forms
To expedite your first appointment, please arrive a few minutes early to complete registration forms so that we have all the necessary information to treat your child. You may also download and print the forms from this website, fill them out ahead of time, and bring them with you to the first appointment.
- New Patient Form
- Patient Intake Form
- Form for Additional Children
- Release of Records
- General Consent Form
- CPR for Infants and Toddlers
- Behavioral Intake Form
- Acetaminophen and Ibuprofen Dosing
- Clinic Price Transparency Disclosure
- Generalized Anxiety Disorder Form
- PHQ-9 Modified for Teens
- M-CHAT-R
- Patient Flu Shot Form
- Immunization/Waiver/Consent Form
- COVID-19 Vaccine Form
ADHD
- Vanderbilt Parent Initial
- Vanderbilt Parent Follow Up
- Vanderbilt Teacher Initial
- Vanderbilt Teacher Follow Up
- Interenet Resources
- Does My Child Have ADHD
- Establish a School - Home Report Card
- Educational Rights
- Sleep Tips
- Homework Tips
Nutrition
Immunizations
- Thimerosal
- Autism
- Too Many Vaccines
- Vaccine Ingredients
- FluMist (Vaccine Information Statement)
- Flu Vaccine (Vaccine Information Statement)
In order to view or print these forms you will need Adobe Acrobat Reader
installed.
Click here to download it.
Directions