Three Steps and Done!

We want to make establishing care with Small Town Pediatrics as easy as possible.

There are three steps, detailed below, to complete and all forms are:

  • Are simple and HIPAA secure
  • Collect information on multiple kids on a single form.
  • Can be completed and signed on a computer, tablet, or smartphone

Step 1:
Medical Records Transfer

Complete a Medical Records Transfer form.

Medical Records Transfer

Step 2:
Notify Your Child’s Insurer

It is a good idea to:

  • Confirm Small Town Pediatrics is “in-network.”
  • Check with the plan on how to select Dr. Mark (Helm) or Dr. Scott (Hamblin) to be your child’s Primary Care Provider in Silverton.

Step 3:
New Patient Registration

Save time! Have a picture of your kid(s) insurance card(s) ready. You can upload the photo into the form, or manually enter the information.

Complete 1 of the 2 form links below, and provide the needed information:

  • Click here if your child needs Preventive or Chronic Care within the next 4-6 weeks
  • Click here to register without an appointment needed in the next 4-6 weeks.

Don’t see your insurance provider on our list?  Don’t fret, these are only the “major players.”  We are happy to work with you and your insurance company to be your child’s pediatrician.

Are you with Kaiser-Permanente?