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  • Home
  • Clinic Information
    • Meet Our Doctors
    • Insurance & Billing
    • New Patient Forms
    • Clinic Tour
  • Healthy Babies
    • Immunizations: Birth – 6 Years
    • Healthy Babies Blog
    • Choosing a Pediatrician
    • When to Call the Doctor
  • Healthy Kids
    • Immunizations: 7 – 18 Years
    • Healthy Kids Blog
    • Health & Safety Alerts
    • ADD & ADHD Evaluations
    • Allergies
    • Autism & Asperger
    • Children with Diabilities
    • Influenza (Flu)
    • Vaccinations
  • Healthy Families
    • Healthy Eating Blog
    • Family Health Challenge
    • The Step Up Diet
      • Quality – Making the Right Food Choices
      • Quantity – We’re Simply Eating Too Much Food
      • Timing – The importance of scheduling means and snacks
    • Active Family Tips
    • Family Recipes
    • School Lunch Ideas
  • Patient Portal
  • Contact Us
    • Hours & Directions
    • Weekend Clinic Policies
New Patient Forms - Save Time and Complete at Home

New Patient Forms – Save Time and Complete at Home

Please fill out all new patient forms and bring them to your child’s first appointment.

Download All New Patient Forms

 

Individual Patient Forms:
Patient Registration
Medical History
Consent to Treat and Notice of Privacy
Notice to Parents Regarding Nurse Practitioner
Authorization for Release of Medical Records
Financial Policy
Pediatric Preventative Healthcare Guidelines
Pediatric Authorized for Credit card File Payment
Pediatric Insurance Authorization

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Reviews

Pediatric Center of Round Rock
Reviewed from Google

4.1 out of 5 stars

Katuri Home
Katuri Home

5 out of 5 stars

posted 2 months ago

Really appreciated the promptness and kindness of the staff in scheduling the appointment and for attending my daughter needs. Wasted no time in office and doctors at this facility thouroughly examined and provided great care. Most of the providers in Austin area take forever in seeing patients once checked in but this facility respects patients time and needs and attends/addresses with thorough professionalism.

Read All 87 Reviews

New Patient Information

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Help for Parents

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Cooking for Toddlers

  • Why Cooking for Toddlers
  • Toddler Recipes

Healthy Babies

  • Choosing a Pediatrician
  • Immunizations for Newborns
  • When to Call the Doctor
  • Establishing a Sleep Cycle
  • Choosing Where to Deliver

Healthy Kids

  • Allergies
  • Health & Safety Alerts
  • Influenza (Flu)
  • Special Needs
  • Vaccinations

Healthy Families

  • Active Family Tips
  • Family Recipes
  • Health & Safety Alerts
  • School Lunch Ideas
  • Special Needs
  • Vaccinations

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