Children’s Medical Center of Tucson –
New Patient Forms for your convenience

You may print out new patient forms to complete and bring with you to your child’s first appointment. Our board-certified pediatricians and friendly team look forward to seeing you. If you have any questions before your visit, please call us at: (520) 293-6686.

ENGLISH
Patient Information (pdf)

Medical release (pdf)

initial history questionnare (pdf)

ESPAÑOL
Informacion del Paciente (pdf)

Politica de Pago (pdf)

Historia Cuestionario Inicial (pdf)

Schedule an appointment with
Children’s Medical Center of Tucson now: 520-293-6686