New Patient Forms
To ensure a smooth and efficient check-in process during your first visit, we kindly request that you download and complete the following forms. Simply follow the steps below.
Complete the Online Forms
To get started, click on the provided link to access the online form. Fill out the required information, ensuring accuracy and completeness. Once you have reviewed and confirmed your entries, simply submit the form digitally.
Download the Forms
Click on the links below to access the necessary forms
Print and Fill Out the Downloaded Forms
For the remaining forms (General Consent to Treat, Parental Consent to Treat, Acknowledgement of Privacy Practice/Financial Disclosure, Voice Mail Consent, and No Show Policy), please download, print, and fill them out manually.
Take your time to carefully fill out the required information and sign the forms where indicated.
Email the Forms
Once you have filled out and signed all the forms, please email the forms to arlingtonprimepediatrics@gmail.com.
Our team will review the forms and have them ready for your first visit.