Thank you for choosing South Royalton Health Center 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, and every trip, to our office is productive, stress-free and enjoyable.
Also please check out the patient portal page. Our patient portal allows you to communicate securely with your provider and office staff, request appointments, download immunization and health forms, and comming soon! even pay your bill online!
The Initial Visit
Our compassionate city pediatricians do whatever it takes to make every visit to our office a pleasant, relaxed experience. With all of the important information about our practice available on our website, you can feel confident that you and your child are well-prepared for your first appointment. We also invite you to review our staff page in order to get to know our providers and staff before you come in. We look forward to meeting you!
Prior to your first appointment please send or drop off:
- Complete immunization records
- Medical records from your previous pediatrician
For your first appointment, please print and fill out the New Patient Forms, and bring them with you, along with your insurance card and any questions or concerns for your provider.
Please plan on arriving 15 minutes early so your child can play in our playroom while we assure your paperwork is in order. These steps allow you to have the full time with your provider, and your child to get comfortable with our office prior to the appointment.
What to bring to your appointment:
- Insurance cards
- Patient Forms
- List of any questions and concerns for provider
Please be ready to tell provider:
- Child's medical history, medications, over the counter medications and supplements and any allergies
- Details about your family medical history
- Recent care obtained outside our practice
- Info on how your child is doing at home, school, etc
We are happy to provide our office forms for convenient download on your home computer also available to submit electronically through our patient portal. If you do not fill them via the portal, please print and complete the appropriate forms below, and bring them with you to your appointment. Questions about which forms you need or how to sign up for the portal? Please call our office and our staff will assist you in preparing for your visit.
New Patient Forms:
Well Visits Forms:
Save time at your visit! Print out the appropriate form, fill it in prior to your child's appointment, and just bring it with you.
- 2 Months SWYC
- 4 Months SWYC
- 6 Months SWYC
- 9 Months SWYC
- 12 Months SWYC
- 15 Months SWYC
- 18 Months SWYC
- 2 Years SWYC
- 30 Months SWYC
- 3 Years SWYC
- 4 Years SWYC
- 5 Years SWYC
Mental Health Concerns:
- Anxiety Screener: SCARED Child
- Anxiety Screener: SCARED Parent
- Depression Screener
- ADHD: Teacher
- ADHD: Parent
In order to view or print these forms, you will need Adobe Acrobat Reader installed. Click here to download it.