Policies & Forms


New Patient Registration

Please click on the link below to help prepare you for your first visit with us.  We look forward to meeting you!

Forms

No show and cancellation policy

$25 will be charged to all patients who do not provide 24 hour notification to cancel a scheduled well-check appointment or for patients who do not show for their scheduled appointments.

Policy

Financial Policies

Please review the forms below and sign. A credit card on file is required for all non Sooner Care patients. Patient financial information will be kept in a secure file.

Financial Policies and Procedures Form

Insurance Form

Credit/Debit Card Pre-authorization Form

Consent to Treat

Consent to Treat Form

Office Hours

Mon & Thurs

8:30 am - 6:00 pm

Tues, Wed, Fri

8:30 am - 5:00 pm

Reliable Tips from the American Academy of Pediatrics
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