Note: Please enter a valid phone number in order to verify your appointment with the pediatric clinic via text message SMS or automated call back.

Please note that this on-line form is for your convenience and is to be used for non-urgent requests, ONLY it should not be used for emergencies. If your child’s condition is an emergency, call 911 or go to your nearest emergency room.

Important: Please bring your Photo ID and your Insurance Card to your appointment. If you do not bring your insurance card, payment will be due at the time of service.

Our Cancellations Policy: We operate a strict cancellations policy requiring all patients to give us a minimum of one business days (24 hours) notice of any cancelled appointment.