We want to
welcome you to our practice and take this opportunity
to give you some information to help you on your first visit.
Our physicians see children from infancy through adolescence. We work
hard to provide same day appointments for your sick or injured
child. Appointments for less urgent issues or chronic conditions
are typically scheduled in advance. While we schedule Well care
visits in advance, they can often be accommodated sooner if you are
willing to be flexible about the doctor that you see.
We offer separate well and sick waiting rooms. Messages left are
returned that day and after office hours the on call doctor will
return your call.
At your first visit, we recommend that you print and complete the
following forms at home. These forms can be faxed to our
office at 661-294-8399 prior to your child’s scheduled appointment.
Please be sure to complete all fields on each form.
Also, in order to save time at your visit we strongly urge you to
have your child’s medical records and immunization records sent to
us prior to your child’s scheduled appointment. To request these
records from a previous physician, please print and complete the
following medical
record release form and send it to your previous pediatrician.
Please be sure to complete all fields.
Patient Registration -
Please bring the completed form to your appointment.
Please review the following policies:
Office Procedures & Polices
Financial Policy
Notice of
Privacy Practices(HIPAA Consent)
Optional – If you want to give permission for someone other
than you (the legal guardian) to bring in your child for care:
Designee Authorization Form
Please arrive 15 minutes earlier than your appointment time. This allows
you to find parking, check in, and have our staff review your
registration forms.
Please bring your insurance card, and any other medical and immunization
records you have. Insurance Information can be found
here.
If you would like to transfer your child’s records over to us
ahead of time, print and fill out the following
medical record
release form and mail it to your previous pediatrician.