• Midtown Mobile: (251) 706-8170
  • West Mobile: (251) 342-8900
  • Midtown Mobile Office
  • West Mobile Office
Book your well child check up today :)

Forms and Policies for New Patients

Thank you for choosing Mobile Pediatric Clinic as your child’s medical home, where we always provide a comfortable, caring environment so our patients and their families can feel at ease. We’ve included helpful items on this page to ensure you and your child’s first trip to our office is productive, stress-free and enjoyable.

Request an Appointment

What to Expect

On the day of your child’s first visit to our office, we recommend arriving a few minutes early. This allows extra time for finishing up any registration forms and ensures you have plenty of time to get acquainted with our staff and office. We look forward to meeting you and joining with you to help your child maintain optimal health.

Mission Statement

At Mobile Pediatric Clinic, we strive to provide compassionate, family-centered, up to date pediatric care for the whole child.

Patient Forms

We are happy to provide our office forms for convenient download on your home computer. Please print and complete the forms below, and bring them with you to your child’s first appointment. Questions about which forms you need? Please call our office and our courteous staff will assist you in preparing for your child’s first visit.

Medicaid Telemedicine Consent Form

General Pediatric Patient Forms

Adolescent Forms

ADHD Forms

Frequently Asked Questions

Please take a moment to read our most commonly asked questions. We’re always available to answer your questions and encourage you to contact our office if you have a question that is not answered below.

Your child should not only see the pediatrician for an illness. It is also important to schedule well-child-care exams regularly, beginning in infancy. Also called well-care visits or checkups, these routine examinations provide the best opportunity for the doctor to observe the progress of your child’s physical and mental growth and development, to counsel and teach parents, to detect problems through screening tests, to provide immunizations, and to get to know one another. Well-care visits are strongly recommended as part of preventive pediatric care.

Well-child visits are also a good time for parents to raise questions and concerns about a child’s development, behavior, nutrition, safety and overall well-being.

The American Academy of Pediatrics recommends this schedule for routine well-care visits:
3 to 5 days
1 month
2 months
4 months
6 months
9 months
12 months
15 months
18 months
24 months
30 months
3 years
4 years
And once every year thereafter for an annual health supervision visit that includes a physical exam as well as a developmental, behavioral, and learning assessment.

You can schedule an appointment by calling our office during regular business hours, or by requesting an appointment online.

Yes, we always welcome new patients. Contact our office for additional information or requesting an appointment online.

Immunizations are a series of shots given to children at different ages to help ward off serious and potentially fatal childhood diseases. Making sure your child receives immunizations when scheduled is the best way to help protect your child from potentially fatal diseases. According to the American Academy of Pediatrics, vaccinations have reduced the number of infections from vaccine-preventable diseases by more than 90%. If you’re apprehensive about vaccinations, please do not hesitate to contact our office.

The Advanced Practitioners (AP) we use in Pediatric Medicine are Certified Registered Nurse Practitioners (CRNP) and Certified Physician Assistant (PA-C) providers. They have master’s level degrees and are trained to care for and manage patients within all aspects of general pediatrics. They have specialized training, certification, and education that allow them to work alongside their physician partners.

If you feel that this is a medical emergency, call 911. If this is a non-emergency situation, please utilize our symptom checker first. If your questions are still unanswered and you feel that further advice from a member of our clinical staff is needed at this time, please call our office number at (251) 706-8170 (Midtown Mobile) or (251) 342-8900 (West Mobile).

  • Need to reschedule your appointment or make a same-day appointment for a sick child? We’re here to help! Call us today at 251-342-8900!
  • Contact Us


Our friendly, knowledgeable office staff works hard to ensure patient comfort and convenience.  With two locations in and around the Mobile area, we are available to help with all your child’s medical needs.

Midtown Mobile
  • Mobile, AL 36607
Meet the Team
West Mobile
  • Mobile, AL 36609
Meet the Team