NEW PATIENTS Before Your First Office Visit

TRY TO OBTAIN THE FOLLOWING INFORMATION BEFORE YOUR CHILD'S FIRST SCHEDULED VISIT. It is preferred that these records be sent to our office in advance. If this is not practical, please bring them with you.

MEDICAL RECORDS: Records from your child's previous doctor with a list of current medical problems, allergies, and medications. IMMUNIZATIONS: A list of the names and dates of immunizations that your child has received. SPECIALIST'S RECORDS: A list of the names and addresses of specialists who are presently providing care for your child. BIRTH and PREGNANCY HISTORY: A list of complications that may have occurred during your pregnancy, and medicines that were taken while you were pregnant. FAMILY HISTORY: A list of medical conditions that are present in close family members - especially those known to be hereditary- asthma, diabetis, cystic fibrosis, etc. TELEPHONE and MAIL CONTACT INFORMATION: A list of home, work, and mobile telephone numbers for both parents (if applicable), and for others you wish to be contacted in case of emergency. INSURANCE INFORMATION: Please bring your insurance card with you.