Patient Forms
Pediatric Care Center welcomes new patients. Choosing the right pediatrician for your child is one of the most important decisions you will make. By selecting Pediatric Care Center, you can feel confident and comfortable that you have made the right decision.
To understand what to expect for your child’s first visit to our practice, please read through this page.
Our Mission
At Pediatric Care Center, we strive to provide the best quality health care for the children in our community. Dr. Yolanda Gutierrez and Dr. Chiazo Nnawuchi-Ekenna are Board Certified pediatricians who care for their patients with excellence and compassion. We want you to know that your child’s health is personal to us. Our practice is working together to build life-long relationships between our staff and our patients by consistently providing our patients with compassion, excellence and value. To fulfill this mission, we are committed to:
- Improving the lives of the children we serve by providing quality care in a child-centered environment.
- Listening to our young patients and their families who we are privileged to serve.
- Guiding our patients along a path of optimal health and wellness.
- Continually pursuing excellence at all levels through continuing education.
What to bring to your first visit?
We work hard to ensure that your child receives prompt medical care in a comfortable, child-friendly office setting. To help expedite the first appointment, we ask that you please bring your child’s immunization records and be prepared to complete paperwork regarding your family medical history, your child’s medical history, and insurance information.
Download Patient Forms
Before your appointment with us, quickly and conveniently access patient forms from our practice.
To view the forms listed below, you will need to download Adobe Reader. Please bring your completed forms with you to our office at the time of your visit.
What to Expect
On the day of your child’s first visit to our office, we recommend arriving a few minutes early. This allows extra time for finishing up any registration forms and ensures you have plenty of time to get acquainted with our staff and office. We look forward to meeting you and joining with you to help your child maintain optimal health.