New Patient Pre-Registration Form
Welcome to Penguin Pediatrics!!! We are excited and honored that you are considering us for your child’s healthcare.
Please complete the
steps below to enroll with our practice to establish patient care at your earliest convenience.
CLick HERE ►
TO enroll your child with our practice if your insurance is listed below.
INFORMATION NEEDED IN ITS ENTIRETY FOR US TO VERIFY INSURANCE & CREATE PATIENT CHART
Commonly Accepted Insurances
- Aetna
- All Savers Insurance
- Anthem BCBS
- Assurant Health
- Care First
- Cigna
- Freedom Life Insurance
- Golden Rule Insurance
- Humana
- Innovation Health
- Meritain Health
- Oxford Health
- Tricare
- Trust Mark Small Business
- UMR
- United Healthcare
- United Healthcare Integrated Services
For the newborn or expecting mother, please pre-register with the Mother's First name, Last Name, Date of Birth & Insurance details and also send us a copy of Insurance card (front/back).
Note: If your insurance is NOT listed below then please send a copy of your Insurance card (front/back) along with Patient's First/Last name, Date of Birth and Reason for initial visit (info@penguinpediatrics.com)
**At this point of time, we will check the insurance eligibility and call you to schedule an appointment.
