Your Child’s First Visit

We understand your first visit can be overwhelming with paperwork. To help make your check-in easier, we have provided our registration forms online. Links to these printable forms are provided below. Please bring in the completed forms to your child’s visit.

Privacy Policy Please read all three pages before the visit.
Privacy Acknowledgment After reading the Privacy Policy above, print and complete this form.
Registration Form Please print and complete the form.
VFC Eligibility Screening Form This form identifies all children who can or cannot receive immunizations through the federal Vaccines for Children (VFC) program. Please print and complete the form.

If you already have a child and are transferring care to Weston Pediatric Physicians, we do require a copy of their medical records from his/her previous practice.

Thank you for choosing Weston Pediatrics to care for your child/children. If there is anything else we can do to assist you, don’t hesitate to contact us.