New Patient Forms & Information

Welcome New Patients! Please use black ink when completing forms.

Here’s What to Bring to Your First Appointment:


	Patient Registration Form
	Patient History Form
	Hipaa Acknowledgement Form


	Medical Release Form — FROM Scottsdale Children's Group to another facility (If you are requesting records FROM our office to another facility or for yourself, you may send this form to our office.)
	Medical Release Form — TO Scottsdale Children's Group from another facility (If you are requesting records from an outside facility TO our office, you can send this form directly TO the outside facility.)
	Welcome to Scottsdale Children's Group
	New Parents
	Power of Attorney

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Scottsdale Children's Group

480-609-8100

Disclaimer: The information on this website is provided as a supportive service to Scottsdale Children's Group and is not meant to replace the advice of the Pediatrician who cares for your child. All medical advice and information should be considered to be incomplete without a physical exam, which is not possible without a visit to your doctor.

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