If you have a newborn or are transferring your child/children from another practice, we request that you complete our Patient Registration Form, Medical Records Transfer Form, and Family Medical History Form prior to your first appointment. We ask that you either fax, mail, or e-mail the Patient Registration Form, Family Medical History Form, and a copy of your insurance card in to us at (818) 783-3115. If e-mailing, please send to tammy@boulevardpediatrics.com. Please send the Medical Records Transfer Form directly to your child's previous physician's office. If your child has been seen by other doctors, please do your best to have medical and immunization records sent to us at least five days prior to your child's scheduled appointment, so that our providers can review your child's chart before that time.
Patient Forms
Please download the appropriate forms from the patient forms page.