Registration Forms

Below are the registration forms required for treatment at Phoenix Children's. While there may be other forms that you will need to complete at your child's appointment, you can save time by reviewing and completing these ahead of time! Forms are available in both English and Spanish and are in printable PDF.

General Forms

• Registration Form
• Coordination of Benefits
• No Show/Late Cancellation Agreement
• Medical Power of Attorney

Specialty & Clinic Specific Forms

• Gastroenterology Patient Questionnaire
• Orthopedics New Patient Form
• Sports Medicine New Patient Form
• Orthopedic Surgery and Sports Medicine Follow-Up Form
• Rheumatology Patient History Form
• Urology Patient Questionnaire
• Headache Clinic Initial Consultation
• Headache Follow Up Questionnaire

Español

• Registro de Pacientes
• Coordinación De Beneficios
• Compromiso del Paciente: Faltar a la Cita, Llegadas Tarde, Cancelar la Consulta
• Gastroenterología Pediátrica Cuestionario Para Padres
• Ortopedía Historia Clínica de un Paciente Nuevo
• Medicina del Deporte Cuestionario para un Patiente Nuevo
• Ortopedía Control del Paciente Información Clínica
• Formularios de reumatología sobre  antecedentes del paciente
• PODER PARA LA TOMA DE DECISIONES SOBRE LA SALUD
• Consulta inicial de la clínica de dolor de cabeza
• Cuestionario de seguimiento del dolor de cabeza