Patient Forms


Modesto Pediatrics welcomes new patients. Choosing the right pediatrician for your child is one of the most important decisions you will make. By selecting Modesto Pediatrics, you can feel confident and comfortable that you have made the right decision.

To understand what to expect for your child's first visit to our practice, please read through this page.

Our Mission

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.

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Patient Forms

Our NEW Electronic Medical Record has a "Patient Portal" that we use to utilize to send families the patient forms we need filled out.  If possible, please try to fill out your forms prior to your child's appointment in an effort to save time.  If you have not already registered for the portal, please contact the office via phone or e-mail and we will send you an "invite".  You will need to provide us with a valid e-mail.

Patient Account Portal LInk:

Our "Newborn Care Booklet"

The pediatricians and staff of Modesto Pediatrics would like to congratulate you on the birth of your baby. You have just received the greatest gift life has to offer and we feel honored that you have chosen us to care for your most precious possession. This manual was created by the pediatricians at Modesto Pediatrics in an effort to answer the most common pediatrics questions asked by parents. Our goal at Modesto Pediatrics is to help you as parents raise healthy, happy and emotionally secure infants, toddlers and adolescents . NNew

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.

Our Location

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View map and directions to our location and office hours.
3109 Coffee Road, Suite A
Modesto, CA 95355
(209) 522-0001

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Call (209) 522-0001

3109 Coffee Road
Suite A
Modesto, CA 95355