Pediatric New Patients

It is our commitment to proudly provide personalized care for children of every age and every stage. Find our Pediatric New Patient Packet here.

01

Fill out our New Patient Packet

The first step to establish care with our office is to fill out our New Patient Packet. This packet consists of: Pediatric Patient Registration, Patient Health Information, and a Release of Information form. Please return completed forms in office.

02

Get Immunization & Records

Our second step is for us to send your Release of Information form to the child’s previous primary care provider (PCP). The previous PCP will legally have 30 days to send your child’s records. We will not schedule until we have immunizations and medical records.

03

Make an Appointment

Once all immunization and records are received, we can finally call the parent or guardian to schedule a new patient appointment.

Adult New Patients

Our Peacock Providers are proud to provide personalized care for the whole family at our Platte City location. Find our Adult New Patient Packet here.

01

Fill out our New Patient Packet

To establish care with our practice, the first step is to fill out our Adult New Patient Packet. This Packet consists of: Adult Patient Registration and Personal Health History form. Please return completed forms via email or in office.

02

Make an Appointment

Next, we will call the patient directly to schedule a new patient appointment.

03

Complete a Release of Information Form

The final step is to fill out a Release of Information form after your first appointment. Our Providers do this to ensure that we are requesting specific records that directly effects the patient’s care.