The following forms are available to assist you with expediting your first visit to a pediatrician at our children’s pediatrician care office. Click on one of the forms below to learn more.
- Health History Questionnaire (Please fill out online, print and bring to your appointment.)
- Insurance Instructions
- Medical Release
- Physical Exam Forms
- Privacy Practices
- Child Care Health Form
- Newborn Parent Information
- Information Sharing Authorization (Parent Authorization)
Pediatric Facility in Kansas City
Why choose a pediatric facility for your child’s health care needs? Because we are completely focused on providing pediatric care, which means that we have the knowledge and resources for what your child needs. Whether you are a new parent or need to schedule a sports physical, Health Care For Children can help.
Pediatric Care Concerns
Have a question about our patient forms or health care and pediatrician services? Call our Northland-based medical practice at (816) 792-1170 with inquiries.
Proudly serving the families of the Northland.