New Patient Forms

Please complete and submit the forms below to register your children as patients at Pediatric Associates of Dallas.

Medical Records Release

A Medical Records Release Form is used to request that a health care provider (physician, dentist, hospital, chiropractor, psychiatrist, etc.) release a patient’s medical records,

Medical Records Release

Office and
Financial Policies

The primary goal of our practice is to provide the best pediatric care to the children and young adults in our community. Since our practice has obligations that must be met, we ask that you agree to abide by our payment policies.

Office and
Financial Policies