Baby’s First Visit Form

Welcome to Goldstar Pediatrics! Completing the Baby’s First Visit Form before your appointment helps us provide the best care for your baby and ensures a smooth visit.

Why Complete the Form Ahead of Time?

• Ensures we have the necessary details to provide personalized care.
• Saves time during your appointment.
• Lets you focus on discussing your baby’s health and any concerns with your pediatrician.

What You’ll Need to Fill Out the Form:

• Your baby’s hospital records, including hearing screen results and immunization details.
• Parent or guardian information, including contact details.
• Insurance information (if available).
• Your baby’s health history, including any medical concerns identified during or after delivery.

How to Complete the Form:

1. Download the Form: Download Baby’s First Visit Form (PDF)
2. Fill It Out: Complete the form electronically or print it and fill it out by hand.
3. Bring It With You: Bring the completed form to your appointment along with any additional paperwork, such as hospital records.

Schedule Your First Visit:
Contact us to schedule your baby’s first visit.

FAQs About the First Visit:
What happens during the first visit?
We’ll review your baby’s health history, perform a physical exam, check their weight and measurements, and address any questions or concerns you may have.

How soon after birth should the first visit happen?
We recommend scheduling your baby’s first visit within 2-3 days after coming home from the hospital.

Can I complete the form online?
Yes, download the form from, complete it electronically, and print it to bring with you.

Download Baby’s First Visit Form (PDF)