Please complete this form if you are transferring out of Peak (😢) or need us to send your records elsewhere. You will need to complete a separate form for each child.
Medical Release Form​
Enter the information for the first child you are registering. You can add additional children in the next step.
Health Insurance Form​
Enter the information for the first child you are registering. You can add additional children in the next step.
Sign our Financial Policy​
Enter the information for the first child you are registering. You can add additional children in the next step.
Sign up to be notified about our April Peak New Patient Session
Become a Peak Patient!
Enter the information for the first child you are registering. You can add additional children in the next step.