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Forms

  Before your child's first visit, please complete the new patient forms listed below and bring them with you to the appointment. To read and/or download our Notice of Privacy Practices, please click here or request a copy when you sign in at the office. You must have the free Adobe Reader to view these forms. Get Adobe Reader. New Patients - These forms will be requested prior to your first visit.
  • Patient Information
  • New Patient History
  • Receipt of Notice of Privacy Practices Written Acknowledgement Form
  • Patient Consent for Use and Disclosure of Protected Health Information
  • Financial Policy
Medical Records
  • Transfer In
  • Transfer Out
OUR SERVICES

Well Child Visits
Sick Child Visits
Newborn Care
Laboratory Services

CENTRALLY LOCATED

1912 W. 35th Street
Austin, Texas 78703

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VISIT US

Office Hours
Monday-Friday
8:00am-5:00pm

CONTACT US

P: (512) 451-5161
F: (512) 451-1258
E: info@cmgaustin.com
* After Hours calls will be routed to our answering service

Copyright 2023 Children's Medical Group