{"id":14,"date":"2014-04-28T23:36:46","date_gmt":"2014-04-28T23:36:46","guid":{"rendered":"http:\/\/ashburnpediatrics.com\/w\/?page_id=14"},"modified":"2026-02-12T20:01:02","modified_gmt":"2026-02-12T20:01:02","slug":"new-patients","status":"publish","type":"page","link":"https:\/\/ashburnpediatrics.com\/?page_id=14","title":{"rendered":"New Patients"},"content":{"rendered":"<p>New to Ashburn Pediatrics? \u00a0This is a list of documents that are needed when you come in for the first time:<\/p>\n<p style=\"color: #2a2d2e;\">1.\u00a0<a style=\"font-weight: bold; color: #003366;\" href=\"http:\/\/ashburnpediatrics.com\/wp-content\/uploads\/2020\/01\/demo_1-23-2020.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">New Patient Registration Form<\/a>\u00a0(click to download, fill out and bring in)<\/p>\n<p style=\"color: #2a2d2e;\">2. Your children&#8217;s insurance card<\/p>\n<p style=\"color: #2a2d2e;\">3. A\u00a0<a style=\"font-weight: bold; color: #003366;\" href=\"http:\/\/ashburnpediatrics.com\/wp-content\/uploads\/2014\/06\/financial-policy.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">signed financial policy form<\/a>\u00a0(click to download, fill out and bring in)<\/p>\n<p style=\"color: #2a2d2e;\">4. A signed\u00a0<a style=\"font-weight: bold; color: #003366;\" href=\"http:\/\/ashburnpediatrics.com\/wp-content\/uploads\/2014\/06\/HIPAA-release.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Notice of Patient Privacy Practices form<\/a>\u00a0(click to download, fill out and bring in.)<\/p>\n<p style=\"color: #2a2d2e;\">5. A <a style=\"font-weight: bold; color: #003366;\" href=\"http:\/\/ashburnpediatrics.com\/wp-content\/uploads\/2018\/01\/Medical_Home.pdf\">Patient Centered Medical Home Form<\/a> (click to download, and bring in.)<\/p>\n<p style=\"color: #2a2d2e;\">6. An\u00a0<a style=\"font-weight: bold; color: #003366;\" href=\"http:\/\/ashburnpediatrics.com\/wp-content\/uploads\/2016\/02\/Initial-History-Questionnaire-2-25-16.pdf\">Initial Patient History \\Questionnaire<\/a>\u00a0(click to download, fill out and bring in.)<\/p>\n<p style=\"color: #2a2d2e;\">7. A signed <a style=\"font-weight: bold; color: #003366;\" href=\"https:\/\/ashburnpediatrics.com\/wp-content\/uploads\/2026\/02\/Vaccine-Agreement.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Vaccine Policy <\/a>form\u00a0\u00a0(click to download, fill out and bring in.)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>New to Ashburn Pediatrics? Here&#8217;s what you need to know before you come. <\/p>\n","protected":false},"author":1,"featured_media":122,"parent":12,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/ashburnpediatrics.com\/index.php?rest_route=\/wp\/v2\/pages\/14"}],"collection":[{"href":"https:\/\/ashburnpediatrics.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ashburnpediatrics.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ashburnpediatrics.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ashburnpediatrics.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=14"}],"version-history":[{"count":13,"href":"https:\/\/ashburnpediatrics.com\/index.php?rest_route=\/wp\/v2\/pages\/14\/revisions"}],"predecessor-version":[{"id":2005,"href":"https:\/\/ashburnpediatrics.com\/index.php?rest_route=\/wp\/v2\/pages\/14\/revisions\/2005"}],"up":[{"embeddable":true,"href":"https:\/\/ashburnpediatrics.com\/index.php?rest_route=\/wp\/v2\/pages\/12"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ashburnpediatrics.com\/index.php?rest_route=\/wp\/v2\/media\/122"}],"wp:attachment":[{"href":"https:\/\/ashburnpediatrics.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=14"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}