Forms

Provo Pediatrics New Patient Form

If you are a new patient, Pediatric Health provides you with the option of filling out your paperwork before coming into the office!  This will help cut down on your waiting time on your first visit.

Open New Patient Form

Transfer of Previous Records Form

If you haven’t yet transferred your child’s previous medical records to Pediatric Health, we recommend you do so.  Knowledge of your child’s medical history will assist us in providing the best possible care to them.

Open Authorization Form

Privacy Policy

Read our Privacy Policy to learn about your rights in regards to health information.

Open Privacy Policy

Have a question or need to schedule an appointment?

 

Give us a call at (801) 377-8000 or fill out our form below! We will respond back to you within 24 business hours.