New Patients
Welcome to KinderHealth
Whether you are new or returning to this page, we want to welcome you to KinderHealth.
We offer two convenient ways for you to register your child as a new patient at KinderHealth. Choose the option that works best for you:
1. KinderHealth Online Registration Form: Complete the registration form online from any device. It's quick, easy, and can be submitted directly through our website.
2. PDF Registration Form: Download and fill out the PDF form on your computer. The form is fillable, allowing you to type in your details, then save and email or fax it to us.
- Registration Form.
- KinderHealth Privacy Policy
- Privacy Practices Acknowledgement form.
- Financial Policy.
- Financial Acknowledgement Form.
- Medical/Family History Questionnaire
- Medical Release Form – Please complete this form and send to your current primary care provider to obtain your child’s medical record.
No matter which method you choose, we’re here to help! If you need any assistance, please feel free to contact us.
