New Patient Registration
We’re excited to welcome new families to our practice. Our pediatricians provide comprehensive, compassionate care to children of all ages — from newborns to young adults.
To schedule your first appointment, please call us at 703-522-4780 or complete our secure online request form.
Click on the button below to fill out the new patient registration form before your first visit.
Forms
Below are commonly used forms and resources for established patients.
Fill out the forms securely or download the PDF form. Please make sure to complete all pertinent areas on the form prior to submitting it online.
Notice:
There is an administrative fee to complete the forms. We ask that you give us at up to 7 days, not counting the weekends or holidays, to complete any school, sports, or daycare forms. If you need it sooner, there will be an additional charge.
Additional Resources
Request to Release Medical Records
When requesting your child’s medical records, a Medical Records Request Form must be completed and returned to Metropolitan Pediatrics. Once the completed form has been received, our office will contact the parent or guardian informing them of their cost for processing a copy of their records.
Referrals Policy
Metropolitan Pediatrics asks that you submit requests for referrals at least five business days prior to your scheduled appointment with your child’s specialist. Please fill out the request as completely as possible. The completed request may be faxed back to us, dropped off at the office, or scanned and emailed back to us. Once the referral is complete, the parent or guardian will be notified by phone.
Immunization Schedule
Click on the button below for find the updated Immunization Schedule and Requirements.
Call us today to schedule an appointment for immunization!