New Pediatric Patients

We are excited that you have chosen Tulsa Pediatric Group for your child's medical care. Your comfort and convenience are our priority, and we strive to make every visit to our office a positive experience. To help you get acquainted with our office and first visit procedures, we have included helpful information on this page.

Our Mission

Our practice is working together to build life-long relationships between our staff and our patients by consistently providing our patients with compassion, excellence and value. To fulfill this mission, we are committed to:

  • Improving the lives of the children we serve by providing quality care in a child-centered environment.
  • Listening to our young patients and their families who we are privileged to serve.
  • Guiding our patients along a path of optimal health and wellness.
  • Continually pursuing excellence at all levels through continuing education.

Patient Forms

To expedite your first appointment, please arrive a few minutes early to complete registration forms so that we have all the necessary information to treat your child. You may also download and print the forms from this website, fill them out ahead of time, and bring them with you to the first appointment.

New Patient Forms
 Missed Appointment Policy
 Financial Policy
 Hipaa Policy
 Privacy Policy
 Patient Identification Form
 Authorization to Treat
 Initial History Questionnaire
 Medical Release Form
 Medical Home Agreement - Sooner Care Patients Only


Sports Physical Form
OSSAA Sports Form


Medical Release Form
Release Form - from our office 
Release Form - to our office

Vanderbilt Forms
Parent Forms
Teacher Forms

                                                                                                                         "New Office Policy"

Beginning May 1, 2016, a new policy regarding all forms needing to be completed by a physician  will be implemented.  There will be NO charge for any/all forms, if the forms are received at least 3 days prior to your deadline.

There will be a $15.00 charge for any forms needing immediate attention within the 3 day period.  A current physical within the past 365 days is required for any forms to be completed. 


In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

What to expect

A pleasant, comfortable first visit builds trust and helps put the child at ease during future visits. We want your child to enjoy getting to know our doctors and staff, so we work hard to establish this bond during every appointment to our office. During your initial appointment, we will explain everything in detail and answer any questions you may have.

We look forward to meeting you and your child and providing the quality, comprehensive medical care you expect and deserve.