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

Care Authorization

×

Make an appointment and we’ll contact you.