New Patients
Pediatrician Clinic in Germantown
We are excited and honored that you are considering us for your child’s medical home!
We have loaded all our forms on to our web site. Filling paper forms at the office can be time-consuming, especially if there is a little one running around in the waiting room.
Filling out a form online, before your visit, means we have all the information we need — including any questions or concerns that you’d like to talk about with your provider. The forms are secure, and your information is always encrypted.
Registration Form (Under 18)
Registration Form (Over 18)
Insurance Accepted
We accept most Health Care plans, call your insurance company for clarification.
Best Pediatric Care in Tennessee
Please click the corresponding link below to complete the appropriate ASQ for your child's age before your appointment. This way, we will be ready to go when we see you in the office and the exam room!
What to Bring
We ask that you bring the patient's insurance card, your ID card, such as a valid driver’s license, a list of medications with the dosage, and any previous medical records, including shot records.
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