New Patients

Collins Pediatrics is currently accepting new patients.
Below is some information to help you become one of our new patients.

New Patient Forms

All new patients are required to fill out the following forms:

1. Patient Registration

Patient Registration Form

2. Patient Medical History

New Patient Medical History

Transferring From Another Practice?

All patients transferring from another practice are required to fill out an Authorization For Release of Medical Records. Please download and complete the form. Most practices allow for a free transfer to another physician but some practices may charge a fee. We prefer to have all of your previous medical records before seeing a patient.

Authorization for medical records