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972-359-7600

doctor@kidschoicepediatrics.com

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  • Home
  • Meet Our Team
  • Services Offered
  • New Patients
  • Office Visits
  • Parent Education
  • Forms & Downloads
  • Blog
  • Pay My Bill
  • Contact
  • Home
  • Meet Our Team
  • Services Offered
  • New Patients
  • Office Visits
  • Parent Education
  • Forms & Downloads
  • Blog
  • Pay My Bill
  • Contact

Forms & Downloads

New Patient Registration Forms

If you are a new patient, please fill out these forms and bring them to your first appointment, or fax them to us at (972) 359-7601

  •  New Patient Registration

  • Immtrac Consent Form

Additional Forms

  • Texas PreParticipation Physical Evaluation Form

  • M-CHAT Questionnaire

  • 9 Month ASQ

  • 18 Month ASQ

  • 24 Month ASQ

  • 36 Month ASQ

  • 48 Month ASQ

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972-359-7600

972-359-7601

Allen: 599 South Custer Road,
Allen, TX 75013

Mon, Tue, Thu, Fri: 8:30 am - 5 pm

Wed: 8:30 am – 2 pm

doctor@kidschoicepediatrics.com

Email Us

  • Home
  • Meet Our Team
  • Services Offered
  • New Patients
  • Office Visits
  • Parent Education
  • Forms & Downloads
  • Blog
  • Pay My Bill
  • Contact

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