Patient Forms

Whether you are first-time parents of a newborn or just new to Dallas with a house full of kids, welcome to Clinical Pediatric Associates. Our mission is simple: to offer the highest level of medical expertise with the care and compassion that every child deserves.

To make your first visit to our practice even more efficient, please download the documents below, and bring the completed forms with you to your child’s appointment.

*Please note that we charge for records based on the reasonable fees designated by the Texas Medical Board: "Board rules define a reasonable fee for providing paper copies of medical records as no more than $25 for the first twenty pages and $.50 per page for every copy thereafter. Also, a reasonable fee of up to $15 may be charged for executing an affidavit, if requested".

For more information, please visit the Texas Medical Board FAQs link below.
Texas Medical Board FAQs