By clicking "ENROLL" below, you are requesting Small Town Pediatrics to create a family account for you and your child or children. To complete this process we may need to contact you by phone, text or email for clarification or additional information. In some cases we may wait to follow-up until a child has an appointment with us.
There is no charge to you nor your insurance for setting up this account. The only purpose is to make it possible to schedule appointments, communicate with you and bill for future medical services.
When you enroll, you will be directed to another form for medical records transfer. This form is needed for all children except newborn infants.