Resources

Important Documents & Forms

Here are some of the forms we require for our New Patients as well as forms needed for permission for treatment for a child unaccompanied by a parent.

For your convenience, at home you may download and complete the forms and bring them to your appointment.

Most of the documents found on this page require Adobe PDF Reader. You can get it here for free.

Community Resources

Important Links

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    Western Michigan Pediatrics Office Policies

    Read More
  •  

    Patient Centered Medical Home

    Read More
  •  

    Participating Insurances & Financial Policies

    Read More

Grand Rapids Office

Western Michigan Pediatrics
721 Kenmoor Ave., S.E
Grand Rapids, Michigan 49546
Phone: (616) 949-6112
Fax: (616) 949-8530


Get Directions!



Jenison Office

Western Michigan Pediatrics
1865 Georgetown Center Dr Suite A,
Jenison, Michigan 49428
Phone: (616) 457-3510
Fax: (616) 457-4660


Get Directions!