• Pinwheel Pediatrics

Pinwheel Pediatrics

Patient Forms

For your convenience, we are giving you the option to download, print and fill out the registration forms before you come in. If you prefer to do this at your time of appointment, please arrive a few minutes early to complete the registration forms so that we have all the necessary information to treat your child.

Pediatric Registration packets

Patient Registration Form

Consent

Terms & Conditions

Privacy Practices

My Chart Account

Authorization for Release of Health Information

M Chat


Additional Forms

  • Patient Health Questionnaire
  • Aces aware screening tool