New Pediatric Patients
Thank you for choosing Eastman, Wozniak, Groebe Pediatrics, P.C 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
Other Documents
- Record Release Form - Out
- Record Release Form - In
- Health Appraisal Form
- Michigan Sports Physical Form
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
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.