New Patient Forms

Thank you for choosing Valley Children’s Primary Care Group for your child’s healthcare needs. Once you've selected a Valley Children's pediatrician, be sure to bring your insurance card, immunization record, and the completed following forms to your first visit:

Authorization to Use and/or Disclose Health Information:

Accepted insurance plans

We understand that navigating medical billing and insurance information can be overwhelming. Valley Children’s makes every effort to simplify this process, so you can focus on your child’s health. Valley Children’s Primary Care Group participates with most insurance carriers in the region. As a courtesy to our patients, we will bill your insurance company for the medical services rendered.

If you have questions about your bill from Valley Children’s Primary Care Group, you may reach our billing department by calling 1-844-843-4657 Monday through Friday 8:00 am – 5:00 pm.

We would like to take this opportunity to advise you of our practice Financial Policies. These policies help us to provide the highest quality care in the most efficient manner. Please do not hesitate to contact us if you have any questions.