New-Patient-Registration-Forms 18 and up

Welcome to Merchant Pediatrics & Family! We are excited to provide you with personalized care. To ensure a seamless first visit, please complete the Adult New Patient Packet before your appointment. This packet contains important intake information and medical release forms, allowing us to request any previous health records needed for your care. You may submit the form online or bring a printed copy to your visit. We look forward to seeing you soon and being your trusted healthcare provider!