Become A New Patient ! · Tetteh Pediatric Health ·

Become A New Patient

There are two easy ways to register your child for a new patient appointment at Tetteh Pediatric Health.

— COMPLETE the registration form below.

— CALL our office at 916.538.6118

Our staff will review the details and contact you by phone or e-mail to schedule the first visit. Please have your child’s health insurance card available when making the first appointment.

Parent/Guardian Name

E-mail

Phone

Patient/Child's Name

Date of Birth:

Street Address

City/Zip

Health Insurance Plan

How did you hear about our office?

Message

*Required information.

8120 Timberlake Way, Suite 207

Sacramento, CA 95823

Phone: 916.538.6118 / Fax: 916.706.1657

Monday through Thursday; 9AM – 5PM

Become A New Patient