Forms/New Patients


Here are some forms that our established patients may need:

New Patients

Mesquite Pediatrics welcomes new patients. Choosing the right pediatrician for your child is one of the most important decisions you will make. By selecting Mesquite Pediatrics, you can feel confident and comfortable that you have made the right decision.  The first step in joining our practice is to complete family registration.

To ensure our practice is the best fit for you family, we ask that you review our practice policies, especially our vaccine policy, and insurances accepted prior to registration:

Registration Steps:

  • Complete patient forms:

    • Please print and complete a separate set of forms for each child and bring them to your child's first appointment.  If you prefer, you are welcome to arrive early to comiplete these forms in our office.

In order to view or print these forms you will need a PDF reader installed. Click here to download Adobe Reader.

  • Request records (for children 1 month of age or older):

    • We need all records from previous clinics to be able to provide the best care to your child

    • Please send the Release of Information portion of the patient forms (from above) to your previous doctors.

The Initial Visit


Our pediatricians and staff do whatever it takes to make every visit to our office a pleasant, relaxed experience. With all of the important information about our practice available on our website, you can feel confident that you and your child are well-prepared for your first appointment. We also invite you to review our "Meet the Docs" page to learn more about each of our physicians.  We look forward to meeting you!