Patient Forms


Download Patient Forms from NPS in Henderson & Las Vegas, NV

Since our inception in 2008, Nevada Pediatric Specialists has been committed to delivering quality healthcare to each of our patients in a timely manner. We want to make sure that your visit with us goes as smoothly as possible, without any unnecessary hassles. With this in mind, we have posted our patient forms online for your convenience.

Patient Information Packets

If you are a new patient, we recommend filling out the pediatric forms below, although you are not required to do so. Having these forms filled out beforehand can not only make your visit with us quicker but also less stressful.

The Patient Information Packet below is in English and contains a patient information form, which asks for patient, insurance, and pharmacy information. There is also an Authorization for Release of Medical Records form.

Complete Patient Information Packet (English)

The Patient Information Packet below is in Spanish and contains the forms listed above.

Complete Patient Information Packet (EspaƱol)

Contact Us

Nevada Pediatric Specialists offers quality healthcare in a comfortable office environment. Our scheduling is flexible and we accept most insurance plans. We accommodate same-day and walk-in appointments.

Contact us today to set up an appointment! Feel free to also visit our About Us page to learn more about our pediatricians!

Our Locations

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