New Patients

As of 5/1/2022, East West Pediatrics is not currently accepting new patients except in the case of a newborn from a family we already serve as they need care shortly after birth.

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.

What to bring to your first visit?

We work hard to ensure that your child receives prompt medical care in a comfortable, child-friendly office setting. To help expedite the first appointment, we ask that you please bring your child's immunization records and be prepared to complete paperwork regarding your family medical history, your child's medical history, and insurance information.  If you would like to save time, please print the registration paperwork from our forms section (below), complete it at home, and bring it with you.

Patient Forms - New Patients - We are not accepting new patients.

We are also happy to offer you the option to download, print and complete our office forms to reduce wait times during your first appointment.

  • Registration Forms: (Online) - After filling out and clicking submit, you may get an error message, but don't worry, it still goes through!
  • Medical and Family History: (Online) (PDF)
  • Medical Release of Records: (Online) (PDF)
  • HIPAA Form: (Online) (PDF) - This only needs to be filled out if you would like to give permission for someone other than a parent/guardian to have access to records or health information about your child.
  • Notice of Use of Private Health Information: (Online) (PDF)

New ADHD/ADD Evaluations

  • Initial ADHD/ADD Evaluations - Parent Form: (PDF)
  • Initial ADHD/ADD Evaluations - Teacher Form: (PDF)

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

What to Expect

On the day of your child's first visit to our office, we recommend arriving a few minutes early. This allows extra time for finishing up any registration forms and ensures you have plenty of time to get acquainted with our staff and office. We look forward to meeting you and joining with you to help your child maintain optimal health.


Our office is using CHADIS,
an online toolkit for developmental screening.

Contact Us