Patient Registration

Dear Parents:

 

In order to expedite the registration of your child for primary care at the Pediatric Wellness Center of Amarillo, it may be helpful to download the registration form as well as your child's health history form.

 

After completing the forms you may fax or mail them to our address or bring them the day of the scheduled visit.

 

Thank you,

please call if you have any questions.

Click on the links below to download our forms:

Patient Information 
 
Our Location:
 
1901 Medi Park Dr. Suite # 110
 
Amarillo TX 79106
 
Mo - TH 8:00 - 12:00 pm
           
           1:00 pm - 5:00 pm 
 
 
Phone:     806 468-4310        
Fax:        806 468-4311

 

 

© 2013 by The Pediatric Wellness Center of Amarillo.