Thank you for choosing Pediatric Center at Renaissance.
Please complete this annual review and acknowledgement of our office policies.
*This form will take approximately 5 minutes to complete.
*Form only needs to be completed once per family, include all patients/dependents when requested.
*All references to "PCR" refers to Pediatric Center at Renaissance.
*All references of "I, me, my" refer to each patient listed individually in the dependents section of the form.
*Hard copies of all policies and consents are available upon request.
*Please contact us (956-686-6100) if you have any questions regarding any of the policies or consents.