New Patient Registration Forms:

 

Records Release Form (One per family)

Registration Form (one per child)

No Show Policy (one per family)

Hippa Form (one per family)

Family History Form (One per child)

 

Fax Completed Paperwork to:

252-622-4014

 

Please~fax a copy of current insurance card

(we will ask for this at every visit)

We will also need~valid driver's license

to scan to chart at the first visit

If your child is un-insured(Self-Pay)

we will work with you.

Let us know on your paperwork

We accept all BCBS, AETNA, CIGNA, United Health, Tricare Standard & Prime, Medicaid, & Health Choice.

If you have another type of insurance coverage, please call our office to see if we are in network with your insurance.

We would be happy to answer any questions.  

252-622-4448

 

If you are a new patient please: 

print, complete & fax all these forms to us at: 

FAX-252-622-4014 

To set up any type of appt. we will need all forms prior to making appt. for your child.

Call us:

252-622-4448

f/252-622-4014

 

Oceanside Pediatrics

3701 John Platt Dr. 

Morehead City, NC 28557

© 2014 by Oceanside Pediatrics, PA