New Patient Forms
- Since 1973
- 24-Hour Answering Service
- Same-Day Appointments
If you are interested in becoming a patient at Pediatric Care of Lansing, please fill out the New Patient Request Form and email your completed form to pedcare@pcolkids.com.

Important Forms for Our New Patients
Patient Forms
Do you want to consult the doctors at Pediatric Care of Lansing? For new patients, please print and fill out the forms and bring them after scheduling an appointment with us to help expedite your visit.
Forms You Need for Your Child's First Appointment With Us
Medical Records
- Request for release of medical form to us
- Request for release of medical records from our office (please complete this form only if you wish to transfer your child's or children's records from our office)
Learn More About
Pediatric Care Of Lansing, P.C.
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