Become a Patient at Peak Pediatric Care

New Patient Registration Request

Please complete the form below to start the registration process with Peak Pediatric Care.

Submitting this form places your registration in a pending status. Your child is not yet a patient of Peak until medical records have been received.

We’ll guide you through the remaining steps after your form is submitted.

Patient Registration Form

Your trusted partner on the journey to raise healthy, confident kids.

Our Office

Peak Pediatric Care
652 East Washington Street
North Attleboro, MA

phone: 508-576-5010
billing: 508-576-5976
fax: 508-213-3685

Account Links

Telemedicine

Patient Portal

Make a Payment

Patient Resources

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New Patient Registration Request

Patient Registration Form

Your trusted partner on the journey to raise healthy, confident kids.

Peak is currently closed, but we've got you covered!

Medical Release Form

Health Insurance Form

Sign our Financial Policy

Sign up to be notified about our April Peak New Patient Session

Become a Peak Patient!

New Patient Registration Request

Patient Registration Form

Your trusted partner on the journey to raise healthy, confident kids.

Peak is currently closed, but we've got you covered!

Medical Release Form​

Health Insurance Form​

Sign our Financial Policy​

Sign up to be notified about our April Peak New Patient Session

Become a Peak Patient!

Medical Release Form

Health Insurance Form

Sign our Financial Policy