Welcome To Partners In Pediatrics!
Please complete the New Patient forms and bring them to your first office visit for your newborn or child. You will also need to bring your current insurance card or cards and your child's immunization record. We will need a copy of them for your child’s record.
Please verify with your insurance company the type of office visit and immunization coverage that your policy provides. Your policy may have a deductible, co-pay or only cover immunizations to a certain age. It is very important to determine this information prior to your visit.
It is very helpful to arrive 10 minutes before your scheduled appointment so that we may enter your information into the computer. The office requests 24 hour notification for any appointment cancellation. Since we have to familiarize ourselves with your child's medical history, initial visits are more time consuming. Please allow yourself a generous amount of time for this visit.
New Patient Forms
For your convenience, our patient forms are located below. Please print and fill out these forms so we can expedite your first visit:
- New Patient Registration Form - Click Here
- Consent of Treatment, Payment and Health Care Operations - Click Here
- Notice Regarding Insurance Coverage - Click Here
- Initial Visit Patient History Questionnaire - Click Herestionna
- Notice of Privacy Practice - Click Here
- HIPAA - Notice of Privacy Practice Acknowledgement Form - Click Here
- Patient Centered Medical Home Agreement - Click Here
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download
What to expect
Being well-prepared for the first appointment will ensure that the doctor has all of the needed information to provide the best possible care for your child. It will also help alleviate any unnecessary anxiety you or your child may be feeling prior to the first visit. Educate yourself on your child's symptoms by reviewing the content on this website. Also, take some time to review our Practitioner page and familiarize yourself with the doctors and nurse practitioners. We look forward to your first visit.
View map and directions to our location and office hours.
4684 Wenmar Drive
Saginaw, MI 48604