New Patients

Effective December 1st 2019, Santa Clarita Pediatrics will no longer be accepting new patients. This decision was not made lightly. We feel we need to make this change at this time so we can better serve our existing patients.

Many of you have been with our practice since the beginning and through the move to our new location. Our practice has grown considerably over the past few years. In order to provide our existing patient base with the quality of care that we pride ourselves on, we are making this change.

We hope to re-evaluate this decision and possibly consider reopening our panels sometime in the future.

At Santa Clarita Pediatrics, our goal is to make your visit as pleasant as possible. For our new patients, there are new patient forms to fill out. New patients are able to download all New Patient Forms by clicking on the links below.

For your convenience, the following forms can be downloaded on your computer and printed at home. Please bring all forms with you on your first visit with us. We look forward to serving you. 

New Patient Forms:

Click on the links below to access, download and print out forms.

1.  Acknowledgement Form

2.  Welcome Notice

3.  Vaccine Policy

4.  Financial Policy

5.  New Patient Demographics Form

6.  Patient Demographic Form

7.  Notice of Privacy Practices

8.  Notice of Privacy Practices Acknowledgement

9. Vaccination Schedule Agreement