New Pediatric Patients

Thank you for choosing Bloom Pediatrics as your child's medical home, where we always provide a comfortable, caring environment so our patients and their families can feel at ease. We've included helpful items on this page to ensure you and your child's first trip to our office is productive, stress-free and enjoyable.

Our Mission

Our mission is to promote the health and welfare of infants, children and adolescents in our community through prevention, diagnosis, treatment and advocacy.

If you're preparing for your child's first visit, you can do a few things to help expedite the appointment. Please provide the following information when you arrive for your visit:

Insurance cards and driver's license
Complete immunization records
Medical records from your previous pediatrician

New Patient Forms

We are happy to provide our office forms for convenient download on your home computer. Please print and complete the forms below, and bring them with you to your child's first appointment. Questions about which forms you need? Please call our office and our courteous staff will assist you in preparing for your child's first visit.

Patient Packet (complete this along with one of the health history forms below)
Newborn Health History (for ages 0 - 6 months)
New Patient Health History (for ages 6 months and older)
Financial Agreement

The Initial Visit

Our compassionate city pediatricians do whatever it takes to make every visit to our office a pleasant, relaxed experience. With all of the important information about our practice available on our website, you can feel confident that you and child are well-prepared for your first appointment. We also invite you to review our staff page in order to get to know our doctors and staff. We look forward to meeting you.