New Patients

Effective February 1, 2019, Santa Clarita Pediatrics is now accepting new patients.

Expecting mothers please contact our office for additional information.

At Santa Clarita Pediatrics, our goal is to make your visit as pleasant as possible. For our new patients, there are new patient forms to fill out. New patients are able to download all New Patient Forms by clicking on the links below.

For your convenience, the following forms can be downloaded on your computer and printed at home. Please bring all forms with you on your first visit with us. We look forward to serving you. 

New Patient Forms:

Click on the links below to access, download and print out forms.

1.  Acknowledgement Form

2.  Welcome Notice

3.  Vaccine Policy

4.  Financial Policy

5.  New Patient Demographics Form

6.  Patient Demographic Form

7.  Notice of Privacy Practices

8.  Notice of Privacy Practices Acknowledgement