To get started please fill out the paperwork below and send us a copy of both sides of your insurance card(s) and photo ID so there is no delay in establishing care and making an appointment. In order to ensure we are contracted with your insurance and there are no insurance issues, we will not be able to make an appointment until we have all of the above documents.
Please also note, we do not accept unvaccinated patients. Our vaccine policy is listed in the paperwork and a approved alternate schedule is also listed below. Thank you!
Thank you for your cooperation and understanding!
Please remember it is your responsibility to make sure we are in network with your plan.
(This is different then just being contracted with and may result in additional out of pocket charges)
Email to info@milestone-pediatrics.com or fax to (559) 746-7746
New Patient Paperwork Packet (pdf)
DownloadPlease fill out only if you wish to follow our alternate vaccine schedule.
Alternate Vaccine Schedule (docx)
DownloadFill this out if you are sending your child with a person other than a parent/guardian.
Fill out if your child is 16 & older and you would like to give them permission to be seen without a parent or guardian.
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We are open Saturday mornings from 8:00-12pm, please call us starting at 8am or request an appointment via the portal.