Patient Forms

We welcome new patients to our practice and offer the forms necessary that can be printed from our website. On the day of your first visit we recommend arriving a few minutes early to allow time for finishing any registration forms and to become acquainted with our office.

If you're preparing for your child's first visit, you can do a few things to help expedite the appointment. Please provide the following information when you arrive for your visit:

  • Insurance cards and drivers license
  • Complete immunization records
  • Medical records from your previous pediatrician

Patient Forms

We are happy to provide our office forms for convenient download on your home computer. Please print and complete the forms below, and bring them with you to your child's first appointment. Questions about which forms you need? Please call our office and our courteous staff will assist you in preparing for your child's first visit.

New Patient Forms

Miscellaneous Forms

In order to view or print these forms, you will need Adobe Acrobat Reader installed.
Click here to download it.


Beaumont Medical Center at 1455 S. Lapeer Rd., Suite 134, Lake Orion 48360
Phone number: 248-683-3385
Fax number: 248-690-7389
Answering Service for after-hours: 248- 683-3385

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