Hinsdale Pediatrics welcomes new patients. When you call for your initial appointment please press Option 4 for our Insurance and Billing Department to make sure we are participating in your insurance plan. Hinsdale Pediatric Associates follows the guidelines set by the CDC (Center for Disease Control) and the AAP (American Academy of Pediatrics). We do believe in immunizing children. We firmly believe it is in your child's best interest to receive the vaccinations as recommended, and ask that you agree by signing our Required Immunization Form. If you have questions about vaccines please take the time to educate yourself about the diseases and vaccines as listed on this form.
What to Expect
We will do everything possible to make sure your child's first visit is a welcoming experience. On the day of your child’s first visit to our office, we recommend arriving a few minutes early. This allows extra time for completing any registration forms and ensures that you have plenty of time to get acquainted with our staff and office. We ask that you bring your insurance card with you for copying and complete the Family Information Form along with a Medical History Form. Please bring any sport, camp or school forms with you that must be completed by the physician. Please have your child's medical records forwarded to our office before your appointment and call to make sure they have been received. Copy the Required Immunization Form below and sign that you agree to these vaccines.
We look forward to meeting you and your child and providing the quality, comprehensive medical care you expect and deserve.
To expedite your first appointment, please arrive a few minutes early to complete registration forms so that we have all the necessary information to treat your child. You may also download and print the new patient forms from this website. Please fill them out ahead of time and bring them with you to the first appointment.
- New Patient Medical History - for new patients
- Family Information Form - for new patients or new insurance
- Vanderbilt Assessment - Parent Information - upon recommendation of physician
- Vanderbilt Assessment - Teacher Information - upon recommendation of physician
- Required Immunizations - for new patients
- Medical Records Release - To tranfser to another doctor, or needed for a specialist
School, Camp, Sport, & Medication Forms
Please remember at your annual exam to ask for any forms you may need for the year. Our nurses will be happy to get these for you. If a form is requested throughout the year, you must have had a current annual exam for it to be filled out. Please give the nurses 10 BUSINESS DAYS to complete these forms.
Any form brought in at the time of your exam will be filled out, with no charge.
Forms requested anytime after exam, will be charged a $10 fee, per form.
* Camp forms * Sport forms
* School forms * College forms
* Medication forms * Letter for school or work
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.