Click here to download our "New Patient Registration Form"
Click here to download our "Initial Visit Medical Information Form"
Click here to download our "Authorization Release of Records"
Click here to download our "Privacy Practices" & "Acknowledgement of Receipt of Privacy Practices"
Click here to download our "Financial and Billing Policy"
Hospital Affiliations -
Our physicians are on the staff of:
Children's Hospital Oakland
Alta Bates Summit Medical Center in Berkeley
Eden Medical Center in Castro Valley
Click here to review Primary Pediatric's insurance affiliations
Visit our Locations & Hours page for more information about making an appointment for your child.
Welcome to the Practice!
Before your child's first visit with us, please look over this section for information about our hospitals, insurance, billing, and the registration forms that you can complete and bring in with you, mail, or fax to us to facilitate your visit. We make every attempt to confirm your appointment by phone a day ahead. Please remember to keep your phone contact information current. If your child is under 18 years of age he or she must be accompanied by a parent or guardian. A permission slip with parent signature is required if your child is being brought to his or her appointment by a relative, sitter, or someone other than the parent.
Save time at your first appointment by downloading and completing the following forms. You may bring them with you or mail them to the office you'll be visiting.