Forms

Thank you for choosing Westerville Pediatric Specialists as your child's medical home, where we always provide a comfortable, caring environment so our patients and their families can feel at ease. We've included helpful items on this page to ensure you and your child's first trip to our office is productive, stress-free and enjoyable.

New Patient Forms

Welcome New Patients! Please click here to download all forms necessary for your child's first visit. Please complete and have the "Authorization To Seek Medical Care" form notarized where indicated prior to coming in for your child's appointment.

If you're preparing for your child's first visit, you can do a few things to help expedite the appointment. Please provide the following information when you arrive for your visit:

  • Driver's license
  • Insurance cards
  • Complete immunization records
  • Medical records from your previous pediatrician

Patient Forms

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

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.

Directions


Contact Us

Our Location

Find us on the map

Hours of Operation

Our Regular Schedule

Westerville Hours

Monday:

8:00 am-7:30 pm (evening hours)

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-7:30 pm (evening hours)

Friday:

8:00 am-5:00 pm

Saturday:

9:00 am-12:00 pm

Sunday:

Closed

Sunbury Hours

Monday:

9:00 am-4:00 pm

Tuesday:

9:00 am-4:30 pm

Wednesday:

9:00 am-4:30 pm

Thursday:

9:00 am-4:30 pm

Friday:

9:00 am-1:00 pm

Saturday:

Closed

Sunday:

Closed