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Patient Forms

Thank you for selecting Kids First Pediatric Urgent Care, LLC!

You may Pre-Register by downloading, printing, and completing the forms below. Please be sure to bring them with you to your visit. Completing the forms prior to your visit will help speed up the patient registration process.

Intake Registration Form

Kids Playing Tug of War

Authorization for Minor's Medical Treatment

Authorization To Release Healthcare Information

Notice of Privacy Practices

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