Registration Procedure
All children will need the following forms on their initial visit:
I. Immunizations Form (options below)
1. We can fax a request to your provider on your behalf 2. Print one here and fill it out Child’s Immunization 3. Simply bring in a copy of immunizationsPrint one here and fill it out at home!
III. Emergency Card (This form needs to be filled out at the center)
IV. Health Care Summary Form *Not needed until 30 days after your initial visit.
Infants (6 weeks - 15 months) need the following forms:
In addition, one of the Following: