Medical Center Pediatrics

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Rainbow Medical Imaging

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Established patients can email
Medical, School, FMLA, and Medication forms for completion. Please include your child's name and date of birth on the subject line of your email. There will be a pre-paid  fee before forms are completed.  Please note that if you wish to pick up any completed forms, you must arrive before 4p.m. We accept Visa, Mastercard, and Discover as a method for payment. Please call our office if you have any questions.  As a reminder, we ask our patients to update their Patient Information Form every 6 months to ensure that we have the most recent address, telephone numbers, and health insurance to expedite your visit. For your convenience, you can download, print, and complete the Patient Information Form  located below to bring to the office.

New Patients: For your convenience, we have included all the information and forms you will need for your first visit to our office.  To cut down on your wait time, you can download, print, and complete these forms before your scheduled visit.
 
Office Number: 210-614-5000

Fax Number: 210-615-1866


For new and established patients.
Patient Information Form
Appointment of Authorized Representative Form
New Financial Policy
For new patients ONLY:


Red Flag Policy
Medical History Form
Medical History Form
 

In "The Rainbow Building"