New Patient Form

The physicians of Children's Medical Group, P.A. welcome your family to our group. New patients are asked to come in 30 minutes earlier than their appointment to allow our office staff time to establish a new chart for your family.

Please download and bring in this completed registration form, your insurance card, photo ID, immunization records and social security cards for each child. You will be required to pay any co-pays or deductibles due. Our bookkeeping and insurance departments can assist you with any questions you may have. If you cannot print out this form, you may come early and fill it out at the office.

To have medical records from a previous provider sent to Children's Medical Group, please see our Medical Records Request section for more information.

Remember your first appointment with our office will need to be during normal business hours Monday-Friday, not on weekends or nights due to limited staff.

We look forward to serving you and your children.