Please fill out the below form in its entirety. This will help expedite your initial visit to our office.

Step 1: Complete your new patient registration form.

When your new patient registration has been successfully submitted, please contact our office at 615-790-3200 to schedule your child’s appointment.

Step 2: Download, print & prepare your health history form.

Please click here to download the pediatric health history form. Please complete the form for each child you are registering, and bring a completed copy with you to your appointment.

Step 3: Send a copy of your current insurance card & completed health history form.

Prior to your visit, please also email a copy of your current insurance card and completed health history form(s) to customerservice@pediatricsoffranklin.com or fax to 615-794-2883.