New Patient Registration form

Step 1 of 3 for New Patient Registration

Step 1 – You are Here

Please complete the following form for each of your children with each child registered individually.

Step 2

Within 24 hours, you will receive a HIPAA compliant, secure email from to complete your registration.

Step 3

Give us a call at 469-333-1543 to schedule your appointment or text us via Klara.

*To register multiple children, please register each child individually*

Still need help?

Watch this video for step by step instructions:

If you have any questions, Call 469-333-1KID(543) or text 469-333-3211.