Updates

Mobile Clinics

Appointment Preparation

Arrival time

For your child’s appointment, please arrive 20 minutes early to complete paperwork and/or your insurance or financial status changes.


Forms

It helps us better facilitate your appointment if you complete all required forms before arrival.

Please carefully complete our medical forms and provide a complete medical history for your child. You can download, print and bring the required forms with you.


New patients

Form

English language

Spanish language

 Patient Information Sheet

Download

Consent to treat

Download

Download

Screening checklist for Contraindications to Vaccines

Download

Download

TVFC eligibility

Download

Download

Immunization registry

Download

Download

Vaccine Information Statement

Download

Download

MyChart Proxy Authorization Form

Download

Download

Financial Assistance Request Application

Download

Authorization to accompany patient

Download

Download


Policies

Form

English language

Spanish language

Notice of privacy practices

Download

Download

Acknowledgment of privacy practices

Download

Download

Financial policy

Download

Download


Parent resources

Form

English language

Spanish language

Medical records request

Download

Download

Texas Children's Pavilion for Women Virtual Education Classes

Download

Download

MyChart Proxy Authorization Form

Download

Download


Prepping your child

Prepare your child for the visit as much as possible.

If you know what the appointment will involve, tell your child in advance that he or she is going to the doctor and what will be done during the visit.


Insurance

Bring identification, such as a driver’s license and a current copy of the insurance card that covers your child. For a list of accepted insurance plans, please click here.


Medications

Bring a list of all medications your child is taking, including over-the-counter and prescription drugs, and include the dosage and strength for each.


Medical records/immunizations

For our providers to provide the best care coordination for your child, it is very important we receive comprehensive health information about your child’s past and current health.

Please bring all of your child’s previous medical records and request that any additional records from previous providers are sent to our office. These include immunization records, growth charts, medical diagnosis notes, etc.

Also, it is very important to update us on any medical care your child currently receives outside of our office. If your child is treated elsewhere, please request that all reports, including urgent care or emergency center summaries, X-rays and laboratory results, are sent to our office.


Note taking

  • Write down any questions or concerns you have for the pediatrician and bring them with you.
  • If your child is sick, record any symptoms he or she is having, including when they started and their frequency.
  • Take notes. Writing down instructions or advice will help you remember them later.

MyChart PreCheck-In

For current patients with a MyChart account, you can complete nearly all of the check-in process tasks from the comfort of your home.

Approximately a week before your appointment, you will receive a message to PreCheck-In so you can take care of the following appointment necessities before you arrive.

  • Verify or update insurance and demographic information
  • Review medications, allergies and current health issues
  • Answer health questionnaires

How to use PreCheck-In:

  1. Log in to MyChart
  2. Select “My Appointments”
  3. Click on “My Upcoming Appointments”
  4. Choose your appointment and select “PreCheck-In” or “Update Info” to start the process

Canceling an appointment

We are asking our patients and families to please be attentive to their appointment details and let us know ahead of time if they are unable to attend their scheduled visit.

We understand things come up and appointments cannot be kept and are happy to work with you to find another appointment that meets your family’s needs.

We appreciate  cancellations as this allows us to offer this appointment to another family in need.

To help us serve as many of our patients as possible, please reach out by phone or through your child’s MyChart account to cancel or reschedule your appointment. It’s quick and easy to cancel any appointment through MyChart at least the day prior.

Thank you for helping us make a difference for families in our community.