To help expedite your first visit, please provide the following information when you arrive:
- Insurance cards
- Complete immunization records
- Medical records from your previous pediatrician
Please print and complete the forms below, and bring them with you to your child's first appointment. Questions about which forms you need? Please call our office at (256)-245-3267 and our courteous staff will assist you in preparing for your child's first visit.
- New Patient Registration [PDF]
- Patient Consent for Use and Disclosure and NPP Receipt [PDF]
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it:
The Initial Visit
Our compassionate Sylacauga Pediatrics and Summit Pediatrics pediatricians and nurse practitioners do whatever it takes to make every visit to our office a pleasant, relaxed experience. With all of the important information about our practice available on our website, you can feel confident that you and your child are well-prepared for your first appointment. We also invite you to review our staff page in order to get to know our providers and staff. We look forward to meeting you!