{"id":1081,"date":"2020-08-20T10:54:16","date_gmt":"2020-08-20T10:54:16","guid":{"rendered":"https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/?page_id=1081"},"modified":"2020-10-22T13:15:14","modified_gmt":"2020-10-22T13:15:14","slug":"registration-forms","status":"publish","type":"page","link":"https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/registration-forms\/","title":{"rendered":"Registration Forms"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:left top;--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:0px;--awb-padding-right:0px;--awb-padding-bottom:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last padding-wrapper\" style=\"--awb-padding-top:7%;--awb-padding-right:13%;--awb-padding-bottom:7%;--awb-padding-left:13%;--awb-bg-size:cover;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><h2>Registration Forms<\/h2>\n<\/div><div class=\"fusion-text fusion-text-2\"><p>If you are scheduled for a first-time visit, please make sure you bring immunization records to better assist you and your child. We cannot provide you with school forms at the time of your visit unless you provide these records.<\/p>\n<p>If you are a new patient, you can save time by downloading our registration form and bring it at your appointment\u2019s day.<\/p>\n<p><i class=\"fas fa-file-pdf\"><\/i> <a href=\"\/kidz-world-pediatrics\/wp-content\/uploads\/sites\/125\/2020\/08\/New-Patient-Registration.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">New Patient Form<\/a><\/p>\n<\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"margin-left: auto;margin-right: auto;margin-top:10px;width:100%;\"><\/div><div class=\"fusion-sep-clear\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background fusion-parallax-fixed nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fullwidth-padding-box\" style=\"--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:5%;--awb-padding-bottom:5%;--awb-margin-bottom:0px;--awb-background-image:linear-gradient(180deg, rgba(0,0,0,0.3) 0%,rgba(0,0,0,0.3) 100%),url(https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-content\/uploads\/sites\/125\/2020\/10\/Patient-Feedback-section-image2.jpg);;--awb-background-size:cover;--awb-flex-wrap:wrap;background-attachment:fixed;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_3_4 3_4 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:75%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.56%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:2.56%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-margin-bottom:20px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"80\" height=\"72\" title=\"testimonials-icon\" src=\"https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-content\/uploads\/sites\/125\/2020\/10\/testimonials-icon.png\" alt class=\"img-responsive wp-image-1129\"\/><\/span><\/div><div class=\"fusion-text fusion-text-3\"><h2 style=\"text-align: center;color: #fff\">PATIENT FEEDBACK<\/h2>\n<\/div><div class=\"fusion-separator\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:0px;margin-bottom:60px;width:100%;max-width:280px;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:#d1d1d1;border-color:#d1d1d1;border-top-width:2px;\"><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-testimonials clean awb-speech-bubble-show fusion-testimonials-1\" style=\"--awb-textcolor:#ffffff;--awb-backgroundcolor:rgba(255,255,255,0);--awb-testimonial-border-style:solid;--awb-testimonial-border-color:var(--awb-color3);--awb-border-top-left-radius:0px;--awb-border-top-right-radius:0px;--awb-border-bottom-left-radius:0px;--awb-border-bottom-right-radius:0px;--testimonial-border-width-top:0px;--testimonial-border-width-right:0px;--testimonial-border-width-bottom:0px;--testimonial-border-width-left:0px;\" data-random=\"0\" data-speed=\"4000\"><div class=\"reviews\"><div class=\"review active-testimonial avatar-above no-avatar\"><blockquote class=\"testimonials-shortcode-blockquote\"><div class=\"awb-quote\"><div class=\"awb-quote-content\">\n<p>\u201d I like Dr. Hubsch because he takes the time and care for my kids. I feel I\u2019m talking with a human being and not a machine. The wait time was short during my visit and Dr. did an appropriate follow up after my visit\u201d.<\/p>\n<\/div><\/div><\/blockquote><div class=\"author\"><span class=\"company-name\"><strong>April 2013 \u2013 R. Gonzalez<\/strong><\/span><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-testimonials clean awb-speech-bubble-show fusion-testimonials-2\" style=\"--awb-textcolor:#ffffff;--awb-backgroundcolor:rgba(255,255,255,0);--awb-testimonial-border-style:solid;--awb-testimonial-border-color:var(--awb-color3);--awb-border-top-left-radius:0px;--awb-border-top-right-radius:0px;--awb-border-bottom-left-radius:0px;--awb-border-bottom-right-radius:0px;--testimonial-border-width-top:0px;--testimonial-border-width-right:0px;--testimonial-border-width-bottom:0px;--testimonial-border-width-left:0px;\" data-random=\"0\" data-speed=\"4000\"><div class=\"reviews\"><div class=\"review active-testimonial avatar-above no-avatar\"><blockquote class=\"testimonials-shortcode-blockquote\"><div class=\"awb-quote\"><div class=\"awb-quote-content\">\n<p>\u201cWe love KWP, Dr. Hubsch is an excellent professional and a wonderful human being. We have been visiting KWP since almost 4 years and we\u2019re very pleased and thankfully with them and our daughter love him. The office staff, nurses and all the personal are incredible, I really recommend KWP\u201d.<\/p>\n<\/div><\/div><\/blockquote><div class=\"author\"><span class=\"company-name\"><strong>July 2012 \u2013 G. Wolf<\/strong><\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n<div class=\"fusion-bg-parallax\" data-bg-align=\"center center\" data-direction=\"right\" data-mute=\"false\" data-opacity=\"100\" data-velocity=\"-0.5\" data-mobile-enabled=\"false\" data-break_parents=\"0\" data-bg-image=\"https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-content\/uploads\/sites\/125\/2020\/10\/Request-an-appointment-section-image1.jpg\" data-bg-repeat=\"false\" data-bg-color=\"#697382\" data-bg-gradient-type=\"linear\" data-bg-gradient-angle=\"180\" data-bg-gradient-start-color=\"rgba(0,0,0,0.47)\" data-bg-gradient-start-position=\"0\" data-bg-gradient-end-color=\"rgba(0,0,0,0.46)\" data-bg-gradient-end-position=\"100\" data-bg-radial-direction=\"center center\" ><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container has-pattern-background has-mask-background fusion-parallax-right nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fullwidth-padding-box\" style=\"--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:5%;--awb-padding-bottom:5%;--awb-background-color:#697382;--awb-background-image:linear-gradient(180deg, rgba(0,0,0,0.47) 0%,rgba(0,0,0,0.46) 100%),url(https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-content\/uploads\/sites\/125\/2020\/10\/Request-an-appointment-section-image1.jpg);;--awb-background-size:cover;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.6666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-4\"><h2 style=\"text-align: center;color: #fff\">Request An Appointment<\/h2>\n<\/div><div class=\"fusion-separator\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:0px;margin-bottom:30px;width:100%;max-width:280px;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:#d1d1d1;border-color:#d1d1d1;border-top-width:2px;\"><\/div><\/div><div class=\"fusion-text fusion-text-5\" style=\"--awb-margin-top:30px;\"><p style=\"text-align: center;color: #fcfcfc\">Have a question about our practice or want to schedule an appointment? Reach out and speak with a member of our team.<\/p>\n<\/div><div style=\"text-align:center;\"><a class=\"fusion-button button-flat fusion-button-default-size button-default fusion-button-default button-1 fusion-button-default-span fusion-button-default-type\" style=\"--button_text_transform:uppercase;\" target=\"_self\" href=\"\/kidz-world-pediatrics\/contact\/\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">REQUEST AN APPOINTMENT<\/span><\/a><\/div><\/div><\/div><\/div><\/div>\n<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 hundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns logos-footer\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:10px;--awb-padding-bottom:0px;--awb-padding-left:60px;--awb-background-color:#f0f3f6;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_2_3 2_3 fusion-two-third fusion-column-first\" style=\"--awb-padding-top:40px;--awb-bg-size:cover;width:66.6666666667%;width:calc(66.6666666667% - ( ( 0 ) * 0.666666666667 ) );margin-right: 0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-image-element in-legacy-container\" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\"><a class=\"fusion-no-lightbox\" href=\"\/kidz-world-pediatrics\/\" target=\"_self\" aria-label=\"Kidz World Pediatrics\"><img decoding=\"async\" width=\"270\" height=\"100\" alt=\"Kidz World Pediatrics\" src=\"https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-content\/uploads\/sites\/125\/2020\/09\/Kidz-World.png\" class=\"img-responsive wp-image-1106\" srcset=\"https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-content\/uploads\/sites\/125\/2020\/09\/Kidz-World-200x74.png 200w, https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-content\/uploads\/sites\/125\/2020\/09\/Kidz-World.png 270w\" sizes=\"(max-width: 800px) 100vw, 270px\" \/><\/a><\/span><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_3 1_3 fusion-one-third fusion-column-last\" style=\"--awb-padding-top:40px;--awb-bg-size:cover;width:33.3333333333%;width:calc(33.3333333333% - ( ( 0 ) * 0.333333333333 ) );\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-image-element in-legacy-container\" style=\"--awb-max-width:270px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-3 hover-type-none\"><a class=\"fusion-no-lightbox\" href=\"https:\/\/www.toplinemd.com\/why-topline-md\/\" target=\"_blank\" aria-label=\"TopLine MD-RegisterR_Stacked_Logo_rgb_color\" rel=\"noopener noreferrer\"><img decoding=\"async\" width=\"1576\" height=\"376\" src=\"https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-content\/uploads\/sites\/125\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color.png\" alt class=\"img-responsive wp-image-1164\" srcset=\"https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-content\/uploads\/sites\/125\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-200x48.png 200w, https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-content\/uploads\/sites\/125\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-400x95.png 400w, https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-content\/uploads\/sites\/125\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-600x143.png 600w, https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-content\/uploads\/sites\/125\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-800x191.png 800w, https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-content\/uploads\/sites\/125\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color-1200x286.png 1200w, https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-content\/uploads\/sites\/125\/2026\/03\/TopLine-MD-RegisterR_Stacked_Logo_rgb_color.png 1576w\" sizes=\"(max-width: 800px) 100vw, 400px\" \/><\/a><\/span><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":13,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-1081","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-json\/wp\/v2\/pages\/1081","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-json\/wp\/v2\/comments?post=1081"}],"version-history":[{"count":0,"href":"https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-json\/wp\/v2\/pages\/1081\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.toplinemd.com\/kidz-world-pediatrics\/wp-json\/wp\/v2\/media?parent=1081"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}