New Patients

Please complete our intake form below so that we can create your child’s chart in our system as well as request your child’s records from your previous doctor.

If you would like to provide authorization for other adults (grandparents, aunts, uncles, etc.) to bring your child into the office and/or receive results or follow-up instructions, you will also need to fill out our authorization form.

we love hearing from our patients

Love Dr. Smith. My kids love her as well. They always say they want to see her when they are sick. Everyone in there is very nice. I would recommend to everyone and I do. I have several friend that there kids go here as well. They say the same thing. If my kids get sick I feel comfortable knowing they are in good care!!!

- Jennifer A.

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