Patient Forms

First Step for New Patient

The first step to becoming a patient is to register on Patient Link. Creating an online account only takes a few minutes. Here’s how:

  1. Click “Create an Account” below.
  2. Enter in your child’s information and an e-mail address, then click “Create my account.”
  3. You’ll also be asked to enter your contact information, choose your preferred location and create a username and password that you’ll need to access your online account. Then click “Join MD Pediatric Associates .”
  4. You’ll see a “Patient Information” page. When you click “Save and submit,” this information will be electronically entered into our system.
  5. Repeat these steps for each child you want to register. Hint: Use the same password for all accounts.

You can be assured your information is secure in Patient Link. MD Pediatric Associates has partnered with Medfusion to create a safe, secure site for your personal and financial information.

In addition to creating an account, you’ll need to complete the following forms:

Bring these to your child’s first appointment, or fax them in advance to our office at (469) 671-5437.

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KUDOS

"My kids grew up at MD Pediatrics. As a single mom I always appreciated the extended hours and multiple locations."

- Nancylyn B