Zaman Pediatrics welcomes new patients. Choosing the right pediatrician for your child is one of the most important decisions you will make. By selecting Zaman Pediatrics, you can feel confident and comfortable that you have made the right decision. New patients must be accompanied by legal parent/guardian for the first visit.

Patient Forms

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.

• Authorization for Release of Medical Information
• ADHD Vanderbilt Questionnaire for Parents
• ADHD Vanderbilt Questionnaire for Teachers

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

New Patient Checklist

Welcome to Zaman Pediatrics!

We’re excited to welcome you to our practice. To begin the new patient process, please complete the checklist below and submit all required documentation. A New Patient Coordinator will contact you in the order your request is received.

New Patient Checklist Please provide the following information:

·         Patient full name

·         Patient date of birth

·         Home address

·         Legal parent/guardian full name

·         Primary phone number

·         Copy of the most recent physical exam (if not legible, please include the exam date)

·         Immunization record

.         Copy of front and back of your insurance card-if required- our provider has to be listed as PCP with reference no.

·         Divorce or guardianship documentation (must be signed and include a seal, if applicable)

Important Information

·         The legal parent or guardian must be present at the first appointment.

·         Insurance policy information must be submitted prior to your appointment so we can confirm participation and identify any required updates.

Vaccination Policy Zaman Pediatrics follows the immunization schedule recommended by the American Academy of Pediatrics.

No-Show Policy Our no-show policy is strictly enforced.  New patients missed appointments will not be rescheduled.  A copy of this policy will be provided upon registration. 

Please forward your completed checklist and all required documentation to: [email protected]

If you have any questions, our team is happy to help. We look forward to caring for your family.

Warm regards, Zaman Pediatrics