New Patient Forms
- Please complete the forms below In preparation for your first visit. You will automatically be taken to the next form in the list.
- Patient Demographics
- Health History
- Consent to Treat
- Office Policies
- Vaccine Policy
- Privacy Practices
- Release Medical Records to Fairhope Pediatrics
- Medical/Financial Disclosure
- Credit Card Authorization
New Patient Forms
Please fill out this form as completely as possible. It will be sent securely to our office.