New Patient Forms

Replace Me

New Patient Information Packet (PDF)

To save time at your first appointment, download these forms, review and complete them, and bring the completed forms to the office for your visit.

Medical Release Form (PDF)

For new patients wanting to transferring into Highland Pediatrics please complete a Medical Release form. In order for us to receive the records from your previous physician.

ATTENTION: New Patients to Highland Pediatrics:

To help us maintain our exceptional level of care for our patients, Highland Pediatrics will temporarily be limiting our acceptance of new patients to newborns and siblings of current patients only.

We hope to resume accepting transfer patients as soon as possible. We sincerely are humbled by your interest in joining our Highland Pediatrics family.

Please follow us on Facebook and Instagram for updates as we continually review our schedules to best meet the needs of our current and future patients. Thank you for your understanding.