FORM DOWNLOADS

The following forms may be downloaded and printed.  Bring the completed forms to your appointment for a quicker check-in time.

New patients or patients whose information has changed should complete these forms.  Please sign and date where requested.

Complete, sign and date this form to allow Kids’ Doc to obtain medical records from your child’s prior physician.

PATIENT INFORMATION
Updated!

Complete this form to register your child’s immunization records in the Texas Department of State Health Services Immunization Registry.

Complete this form to verify your child’s eligibility for vaccinations.

Updated!

Review this document to obtain complete information on our privacy practices.

New!