Welcome!
New patients at Uptown Pediatrics
We're so glad you're here, and very happy you've chosen Uptown Pediatrics, and we look forward to getting to know you and your child in the years ahead. To save time when you arrive, please fill out our new patient forms before your visit.
Step one
Email us to become a patient
The button opens your email app with a short message ready to fill in. Our front desk will get back to you to set up your first visit. Please leave out symptoms and medical details; we'll go over those by phone.
Email ushello@upnyc.pcc.com
Hi Uptown Pediatrics, We'd like to become patients. Parent or guardian name: Best phone number: Child's first name and age (or due date): Insurance plan: (Please leave out symptoms and medical details. We'll go over those by phone.) Thank you!
Newborns
Bring your own insurance information, any hospital records, and a diaper bag with diapers, a change of clothes, and formula if you're not breastfeeding. Let the receptionist know you have a newborn so we can seat you in our newborn waiting area, away from other children.
The 30-day insurance rule
Your baby is covered under your insurance for the first thirty days only. Enroll your baby with your carrier as soon as possible. If you miss that window, your child will have no coverage under your policy.
Transferring from another office
Bring copies of your child's medical records, especially vaccinations, and your current insurance card. The receptionist can copy records into your chart while you wait.
Patient forms
Print them and bring them to your first visit, or fax them to us. Existing patients can also upload forms through the patient portal.
- New Patient RegistrationComplete before your first visit. (PDF)
- Financial PolicyPlease review and sign. (PDF)
- Consent to Treat Without Parent PresentFor visits with a nanny, grandparent, or other caregiver. (PDF)
- Request for Copy of Medical RecordsRequest your child's chart. (PDF)
- Teen Confidentiality AgreementReview together before adolescent visits. (PDF)
- Prenatal Visit FormFor expecting parents meeting the practice. (PDF)
- Notice of Privacy PracticesHow we protect your family's health information. (PDF)
Psychiatry forms
Ready to join the Uptown Pediatrics family?
We welcome new patients from newborns to teens.
New to Uptown Pediatrics
Email us to become a patient
Tell us your child's age and insurance, and we'll get back to you to set up a first visit.
Email ushello@upnyc.pcc.com · Please leave out symptoms and medical details.
Already a patient
Message us in the patient portal
Send us a message to set up a checkup or follow-up, or to ask your doctor a question. You can also see records there.
Message usSick today? Call for a same-day appointment, or just stop by weekdays 9:30-3.
Prefer to talk? Call us at 212-427-0540