POLICIES AND FORMS

NEW PATIENT FORMS

Please download and complete this packet of forms in preparation for your first visit. Complete one set for each new patient.

MEDICAL HISTORY FORM

Please complete the following form to tell us about family medical history. A medical history form is not meant to replace the doctor’s medical files. However, it a handy reference tool that offers crucial info needed for a period of medical treatment.

FINANCIAL POLICY AND FORMS

Please download, read and sign our financial policy agreement.

PRE-VISIT QUESTIONNAIRE

We use online developmental and health questionnaires to help us address any concerns about your child’s health and development. Completing the questionnaire ahead of time also saves you time in the office!

VACCINATION POLICY

Only patients who are fully vaccinated per the CDC recommended schedule will be accepted at CareFirst Pediatrics.
For those patients who are currently delayed, they may discuss a catch-up schedule with Dr. Singh directly.
New patients without an updated registry in the Texas Immunization Registry (IMMTRAC2) are required to provide immunization records prior to scheduling their first check-up.

TELEMEDICINE CONSENT FORM

Please complete and email this form to CareFirst Pediatrics if you are scheduling a Telemedicine visit. For more information please look at our Telemedicine page.