What To Bring
- Photo ID, current insurance card, and co-pay.
- Also, any forms you have filled out in anticipation of your child’s appointment (see forms).
- Bring a list of questions and tell your care team what health issues you want to focus on.
- Before you leave, be sure you know when your next appointment is and the things you can work on to improve your health.
Please inform us when you schedule and check-in, if you have more than one insurance plan. We will be happy to coordinate between your plans, to assure that your appointment is covered to the fullest!
Patient Forms
Download and complete these convenient PDF forms prior to your appointment. You’ll need the Adobe Reader to view and print the documents.
WFPG Welcome Brochure
+ Provider bios, contact information and clinic maps
Patient Registration Form
+ New Patients: bring with you on your first visit
+ Current Patients: change or update your current info
Financial Policy
+ Review and sign before first visit
HIPAA Notice of Privacy Practices
+ Review and sign before first visit – English
+ Revise y firme antes de su visita – En Espanol
Terms & Conditions of Service
+ Review and sign before first visit
WFPG Patient Health Records Release
+ Authorization to use and disclose protected health info
Motor Vehicle Accident Insurance Information Report
+ Assists billing department to accurately direct insurance claims
Additional Forms