New Patients


Thank you for choosing Harrisonburg Pediatrics to provide your child's medical care. We appreciate this opportunity to serve you.

For your first visit, we encourage you to schedule an appointment for a routine well checkup with one of our physicians. Please request that your previous physician mail your child’s past medical records & immunization dates or bring these with you to the visit. Our physician will review the medical, family, and social history and discuss any medical concerns. Certain laboratory procedures may be performed.

When you make your first appointment, our staff will obtain insurance information. Please have your insurance card ready. We also ask that you fax or bring a copy of your insurance card to the office before the visit.

Harrisonburg Pediatrics participates with most, but not all, insurance carriers. In some circumstances, we participate with the insurance company but are not accepting new patients. Please contact your insurance company to see if we participate or are accepting new patients. If we participate with your insurance company, we will bill insurance for medical services we provide.

Even if we do not participate with your insurance plan, we can still see your child. You will be financially responsible for any remaining balance owed after insurance payment.

To save time at your first appointment, please print and complete several forms in advance. Having these forms completed and ready at your visit, Patient Registration Form, Medical History Form, Authorization for Treatment of Minors, as well as the Privacy Notice and Acknowledgement will save time at your visit registration.


New Patient Forms