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: