We are excited that you have chosen Central Coast Pediatrics Inc for your child's medical care. Your comfort and convenience are our priority, and we strive to make every visit to our office a positive experience. To help you get acquainted with our office and first visit procedures, we have included helpful information on this page.
Our practice is working together to build life-long relationships between our staff and our patients by consistently providing our patients with compassion, excellence, and value. To fulfill this mission, we are committed to:
- Improving the lives of the children we serve by providing quality care in a child-centered environment.
- Listening to our young patients and their families who we are privileged to serve.
- Guiding our patients along a path of optimal health and wellness.
- Continually pursuing excellence at all levels through continuing education.
To expedite your first appointment, please arrive a few minutes early to complete registration forms so that we have all the necessary information to treat your child. You may also download and print the forms from this website, fill them out ahead of time, and bring them with you to the first appointment.
New Patient Registration Forms - Utilize these forms if you have a newborn or a child that is new to the practice.
HIPAA Guidelines - This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Parental Consent Form - Utilize this form if you will not be accompanying your child to his/her appt. It will be necessary for you to fill out this form for the person you are authorizing to make medical decisions on your behalf for EVERY visit you do not attend.
Minor Patient Consent Form - Utilize this form if you will not be accompanying your child to his/her appt and they will be attending the appointment without the presence of a parent or guardian. It will be necessary for you to fill out this form for EVERY visit you do not attend. Must be 14 years of age and over.
Release of Medical Information Form - Utilize this form if you need a copy of your child's medical records. Please fill out all highlighted sections and fax, email or bring into one of our office locations.
SLO fax: (805) 549-8463 and Templeton fax: (805) 434-0134 OR you may email the request form to firstname.lastname@example.org.
Note: Request form and medical record inquiries may be emailed but we may not send your records back via email in order to comply with HIPAA privacy laws. Medical Records will be faxed or printed for office pick up. Thank you for your understanding.
In order to view or print these forms, you will need Adobe Acrobat Reader installed. Click here to download it.
What to Expect
A pleasant, comfortable first visit builds trust and helps put the child at ease during future visits. We want your child to enjoy getting to know our doctors and staff, so we work hard to establish this bond during every appointment to our office. During your initial appointment, we will explain everything in detail and answer any questions you may have.
We look forward to meeting you and your child and providing the quality, comprehensive medical care you expect and deserve.
Central Coast Pediatrics Inc offers a full array of services to help your child maintain good health.
- Ear Piercing
- Strep Throat
- Whooping Cough
- Learning/developmental disabilities
- Chronic conditions
- Ear infections
- Genitals and Urinary Tract
- Sports Injuries