Please fill out this form to move forward with registration:

New Patient Detailed History

Once you complete your form, please save and email to mail@carinepediatrics.com

After we receive the forms and register your child, we'll reach out to you to schedule the first visit.

We process new patient registrations between serving our established patients so there may be a wait before you hear from us to schedule. If your child is acutely ill, please visit your current PCP or an urgent care.