Please bring the following forms printed, and completed to your first office visit at Etowah Pediatrics along with your insurance card.
- For children ages newborn to 6 months print and fill out this infant medical/social history form for each infant.
- For children ages 6 months and over print and fill out this child medical/social history form for each child.
- Each new family please print and fill out this additional registration form. This is only 1 per family.
- Please print, read and sign the financial/office policies.
- Please print, complete, sign and return to us as soon as possible so we can request your child’s previous medical records. Medical records must be received before first visit with our office. Medical Records Release
