Forms & Registration
New Patients
If you are new to First Choice Pediatrics, simply download these registration packets and fill out each form. Email the completed forms to evisit.fcp@gmail.com or bring them with you to your first visit. Be sure to also bring a copy of your insurance.
Asthma Control Test Forms
Behavioral Health Screening
Additional Forms
Maternal Health Screening
To better serve our patients, we may ask mothers to fill out this maternal health screening.
Medical Release Form
Use this form in case you need to release your child’s information to other doctors, hospitals, etc.
ADHD Screening Form
The NICHQ Vanderbilt Assessment Scales are used by health care professionals to help diagnose ADHD in children between the ages of 6- and 12-years.
Telemedicine Consent Form
Since COVID19 hit Oklahoma, we’ve been taking extra precautions to ensure your child and family’s safety. One of these ways is through digital doctor appointments. After you have filled out our consent form, call our office. We’ll get you connected to the doctor and keep your child healthy.
Contact us.
If you have any questions or concerns, give us a call. We are more than happy to help you get the answers you’re looking for.
