Becoming a New Patient

In order to become a new patient at Pediatric Associates-Powdersville, you will need to first have your child's records transferred from your previous practice, using this form:

Authorization for Release of Medical Information

In addition to having your child's records transferred, you will need to fill out a new patient packet before booking the first appointment, this includes first-time parents.

Once completed, you may bring the packet to our office along with your insurance card. You can mail the new patient packet to us ahead of time, but we cannot accept the packet by fax. Physicians require 48-72 hours advance notice to be able to review all new patient medical records prior to being seen in our office.

New Patient Packet