Thank you for choosing Kids Creek Children's Clinic as your child's medical home, where we endeavor to provide a comfortable, caring environment so our patients and their families can feel at ease. To that end, we have included helpful items on this page to ensure that your child's first trip to our office is as pleasant, productive, and stress-free as possible
Our mission is help each child reach his or her optimal level of health and well being through building life-long relationships with our patients, consistently providing compassionate care of the highest quality and excellence, as well as cost effectiveness and value. To fulfill this mission, we are committed to:
- Treating each person with dignity, respect and compassion.
- Listening to our young patients and their families and valuing what they have to say.
- Achieving a path of optimal health and wellness in partnership with child and family.
- Continually pursuing excellence at all levels through continuing education.
If you are preparing for your child's first visit, you can do a few things to help make things go as smoothly as possible. Please be prepared to provide the following information when you arrive for your visit:
- Insurance information
- Complete immunization records
- Medical records from your previous pediatrician (we can help you with this)
For your convenience, the following forms are available to print and complete prior to an appointment in our office. Please give your completed forms to our staff member at the check-in desk upon arrival in the office.
New patient/newborn forms:
Change of address/phone number/ custody/ emergency contacts:
Medical Record Release and Consents:
- Release Medical Records FROM Kids Creek
- Release medical records TO Kids Creek
- Consent to Treat for Today's Visit
- Consent to Treat for 1 year
- Consent for treatment while parents away
- Notice of Privacy Practices
ADHD Vanderbilt Parent Forms:
ADHD Vanderbilt Teacher Forms:
Sports Physical Forms:
School / Daycare Forms:
Boy Scouts Medical Forms:
In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.
We hope that your first visit with our office will be the begining of a close and meaningful long term relationship. Watching children grow and develop through the years is what makes our work so rewarding. Our pediatricians and pediatric nurse practioners, as well as the rest of our staff, are here because we love working with children and their families.
A first visit with a new office, and meeting new people might create apprehension, but we hope that our website, with the information and pictures it contains, will help to make this initial visit a positive, enjoyable experience.
Families and their children receive care at Kids Creek Children’s Clinic by appointment only. Please call our office and speak with a member of our scheduling staff, who will be happy to help you arrange a visit for your child.
During most days of the year, we have time reserved for same day appointments addressing acute illnesses (i.e.: colds, earaches, sore throats, vomiting, or injuries). We encourage families with a sick child to call as early as possible to schedule a same day appointment. Each child that is ill will need to have an appointment scheduled in order for a provider to see them. Less acute issues, including ongoing or chronic problems, will be scheduled as promptly as possible.
Well child care and physical exam appointments
Routine physical appointments need to be scheduled in advance. Our staff will do it’s best to accommodate your choice of provider for these visits. Please bring your child’s immunization card and any school, sport, camp, or daycare forms with you to this appointment. We may have some of these forms at our office. As part of your child’s physical, we will monitor growth, development and nutritional status, as well as provide you with advice on safety and wellness. Routine well child exams are recommended according to the following schedule.
Recommended Well Child Appointment Schedule
|1 month||Physical Exam|
|2 months||DTaP, IPV, Prevnar, Hib, Hep B, Rotateq||Physical Exam|
|4 months||DTaP, IPV, Prevnar, Hib, Rotateq||Physical Exam|
|6 months||DTaP, IPV, Prevnar, Hib, Hep B, Rotateq||Physical Exam|
|9 months||Physical Exam
Hemoglobin (anemia screen)
|12 months||MMR, Varicella, Prevnar, Hep A||Physical Exam|
|15 months||DTaP, Hib||Physical Exam|
|18 months||Hep A||
|2 years||Physical Exam|
|3 years||Physical Exam, BP|
|4-6 years (Annually)||DTaP, MMR, Varicella, IPV||Physical Exam, BP,Vision|
|7-10 years (Annually)||Physical Exam, BP, Vision, Lipid Testing|
|11 years||Tdap, Meningococcal, HPV||Physical Exam, BP, Vision, Lipid Testing|
|12-21Years (Annually)||Physical Exam,BP, Vision
Hemoglobin (Females), Lipid Testing, Urinalysis