Complete Our Patient Forms

Prenatal Form

All forms are accessible as Adobe e-sign documents and will open in a new browser tab. For optimal use, please complete these forms on a laptop or desktop computer. While it is possible to use a mobile device, we recommend downloading the Adobe app to ensure proper functionality.

There is no application process or waiting list for our prenatal forms. Upon submission of your completed form, it will be received via email and securely filed; your child will automatically be registered as a patient. In addition, we offer a complimentary prenatal appointment with your chosen pediatrician should you wish to schedule a meeting before your baby's birth.

We ask that parents fill out the below form if they are adding a new baby to their family.

• Prenatal Information Form - for expectant parents (Adobe e-sign document)
• Paper Prenatal Form - for expectant parents (will need to print)

This information will be kept on record and used to establish your child's chart upon notification of their birth. We kindly request that you facilitate the submission of your baby's discharge paperwork by providing your pediatrician's name when admitted to the hospital for delivery. Additionally, the hospital will ask you to contact our office to schedule your child's initial appointment prior to discharge.

IMPORTANT: We adhere to scientific, evidence-based medical practices, ensuring that all medications and procedures are supported by proven safety and efficacy data. In alignment with this approach, our clinic follows the immunization schedule endorsed by the AAP.

Patient Forms

All forms are accessible as Adobe e-sign documents and will open in a new browser tab. For optimal use, please complete these forms on a laptop or desktop computer. While it is possible to use a mobile device, we recommend downloading the Adobe app to ensure proper functionality.

• Newborn Patient Packet - for newborns only - only fill this one out if you did not fill out a Prenatal Form for our office
• Newborn History Questionnaire - for newborns only

New patients for our office (not newborns) need to complete the following four forms:

• Family Demographics
• HIPAA Acknowledgement
• Patient History Questionnaire - for all children other than newborns
• Medical Records Release - This form must be completed to facilitate the transfer of your child's records to or from our office. If you require the records to be released directly to yourself, please enter your personal information in lieu of the clinic details. A fee of $10.00 applies for records provided directly to you, which will be delivered on a CD in PDF format.
• In the state of Alabama, children over the age of 16 are required to sign these forms independently. If the documents are being sent out of state, a parent's signature should also be included, as most states mandate parental consent until the child reaches 18 years of age.

If you are having issues with the above links you may print the following forms and return them to our office.

• Paper Newborn History Questionnaire - for newborns only

• Paper Family Demographics
• Paper HIPAA Acknowledgement
• Paper Patient History Questionnaire - for all patients other than newborns
• Paper Medical Records Release - This form must be completed to facilitate the transfer of your child's records to or from our office. If you require the records to be released directly to yourself, please enter your personal information in lieu of the clinic details. A fee of $10.00 applies for records provided directly to you, which will be delivered on a CD in PDF format.
• In the state of Alabama, children over the age of 16 are required to sign these forms independently. If the documents are being sent out of state, a parent's signature should also be included, as most states mandate parental consent until the child reaches 18 years of age.

IMPORTANT: We adhere to scientific, evidence-based medical practices, ensuring that all medications and procedures are supported by proven safety and efficacy data. In alignment with this approach, our clinic follows the immunization schedule endorsed by the AAP.

Important Paperwork for all Patients to Review

• HIPAAPolicy 
• Recommended Schedule of Well Visits and Immunizations -  We follow the immunization schedule endorsed by the AAP.
• PCMH Brochure - We are a Patient Centered Medical Home, this brochure explains what that is.

Becoming a Patient: Frequently Asked Questions

Our Philosophy

We believe pediatric care is about more than checkups and milestones — it is about relationships. From the very first days of life, we are honored to walk alongside families as a trusted partner, offering guidance, reassurance, and compassionate medical care.

Our practice is rooted in the belief that children thrive when families feel supported and connected. We take time to listen, to answer questions thoughtfully, and to celebrate each stage of growth with you. By welcoming families at the newborn stage, we are able to build meaningful relationships from the very beginning — relationships grounded in trust, accessibility, and continuity.



We are proud to serve our community and to care for siblings together within one medical home. Watching families grow is one of the greatest privileges of our work. Our goal is simple: to provide attentive, personalized care in a setting where you feel known, valued, and supported every step of the way.

Are you currently accepting new patients?

Yes. We are welcoming newborns into our practice from birth through hospital discharge. During this season, we are focusing on caring for families at the very beginning of their journey.

Will you accept older siblings?

Absolutely. We are pleased to care for older siblings of our newborn patients so your children can grow together within one medical home. Caring for the whole family is important to us.

When should we contact the office?

We encourage families to reach out during pregnancy whenever possible. Meeting ahead of your baby’s arrival helps us answer your questions and ensure a smooth transition home.

When will our baby be seen after delivery?

Newborn visits are typically scheduled within 24–72 hours after hospital discharge, following your hospitalist’s recommendation. We will work closely with you to make sure your baby is seen promptly and thoughtfully during those important first days.

Why are you focusing on newborns?

The newborn stage is a special time filled with both joy and questions. By welcoming families at birth, we are able to build strong relationships from the start and provide attentive, personalized care rooted in trust and community.

How do we get started?

Simply contact our office by phone or through our website. Our team will warmly guide you through the next steps and help you feel prepared and supported.