Patient Forms and New Patient Info

Thank you for choosing Kidology Pediatrics as your child's medical home, where we always provide a comfortable, caring environment so our patients and their families can feel at ease. We've included helpful items on this page to ensure you and your child's first trip to our office is productive, stress-free and enjoyable.

Mission Statement

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.

Kidology Values

If you're preparing for your child's first visit, you can do a few things to help expedite the appointment. Please provide the following information when you arrive for your visit:

  • Insurance cards
  • Complete immunization records
  • Medical records from your previous pediatrician

Patient Forms

We are happy to provide our office forms for viewing and completing on your home computer. Please click the link and complete the appropriate forms below, and they will be automatically sent to us via secure email.  Questions about which forms you need? Please call our office and our courteous staff will assist you in preparing for your child's first visit.

The most important form to complete is to have your child's records sent to our office from their prior pediatrician's office.  Please complete the secure form below and it will be directly sent to us to contact your prior doctor's office. 

If you would like to authorize another family member or friend to bring in your child on your behalf, you can complete the "consent to treat" form below as well.  

If your child is 12 years old or older and are coming in for their annual well visit, please have your child complete the following form before their appointment:

The Initial Visit

Our compassionate pediatricians do whatever it takes to make every visit to our office a pleasant, relaxed experience. With all of the important information about our practice available on our website, you can feel confident that you and child are well-prepared for your first appointment. We also invite you to review our staff page in order to get to know our doctors and staff. We look forward to meeting you. 

Please review our Notice of Privacy Practices before your appointment and let us know if you have any questions.  We also have hard copies in the office to review if you desire. 

After reviewing the privacy practices, you can complete the Acknowledgement of Receipt of Notice of Privacy Practices form to be included in your child's chart.

Click below to read our new patient Welcome Letter!  We look forward to meeting you!

Kidology Welcome Letter

Our office

We strive to have our offce be a friendly, fun and inviting space for all our patients and their families.  See some photos below of our office :)

Waiting room

Waiting room 2

prize box



Contact Us

Send Us an Email

Our Location

We are the closest medical building to the corner of Crooks and Long Lake. Our building is on the left, after turning in off Crooks.

Office Hours

Regular hours: We are closed for lunch each day from 12:30-1:30 unless stated differently below.

Kidology Pediatrics


8:00 am-7:00 pm

Lunch 1:30-2:30


8:00 am-5:00 pm


8:00 am-3:30 pm


8:00 am-7:00 pm


8:30 am-5:00 pm


9:00 am-12:00 pm