Thank you for choosing Marimón Pediatrics to be your child’s health care provider. To become a patient of our practice, please download and complete the New Patient Registration form and the Medical Records Request form:
New Patient Registration (English) or (Spanish)
Medical Records Request (English) or (Spanish)
If you are pregnant and are looking for a practice to join, please use this form instead:
Prenatal Consultation (English) or (Spanish)
Newborn Pamphlet (English) or (Spanish)
Please email the completed forms to [email protected] along with a copy (front and back) of your ID and insurance card.
Please note, Marimón Pediatrics strictly follows the AAP and CDC guidelines regarding vaccines. For more details about our vaccination policy, please click here.
Once registration is complete, a member of our team will contact you to assist in making an appointment.