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.

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

Pediatric Center of Round Rock

3.9 out of 5 stars

Suzanne Higbee

5 out of 5 stars

posted 1 month ago

Pediatric Center of Round Rock has taken care of my children now from birth through teen years. I have never had an issue getting an appointment and I have found the best guidance with allergy and asthma issues. Much time has been taken to assess and educate both parent and child about asthma. I have never been able to distinguish my children’s allergies from a cold so I appreciate the doctors willingness to bring them in for a quick check so that I am not sending a sick child to school and activities. My children look forward to going to their appointments. I feel like the doctors go above and beyond to talk directly to my kids and that they will be adults that have had a good foundation communicating their needs to healthcare providers. They are comfortable and relaxed. We never feel rushed and we don’t sit waiting for prolonged times. I highly recommend this practice.

Vanessa Nieto

5 out of 5 stars

posted 3 weeks ago

I love this place, everybody is kind and nice with the kids to make them feels comfortable. Highly recommended!

Read All 56 Reviews