Online Check-in Instructions

Please complete these three steps well in advance of your appointment in case of any hiccups.

Pay copay here

Copay: Pay your copay (if applicable) above then return to this page.
Insurance card: unless you’re sure we have a scan of your current card within the past year, please email a photo of both the FRONT and BACK of your insurance card to clinic@trailheadpediatrics.com.
Submit the brief form below.

Child's Name

First Name

Last Name

Date of birth

MM

DD

YYYY

I paid our copay

Yes

We don't owe a copay

Other (explain in comments)

I emailed a copy of our current insurance card

Yes

Office already has a scan of our current version within the past 12 months

Other (explain in comments)

New phone numbers, emails, or addresses?

Enter any info that has changed in past 12 months, including whose info it is, unless you've already updated with us. Otherwise enter "no".

Fill out this section if any new INSURANCE in past 12 months or since last visit

Insurance Company and Plan

Insurance Guarantor

Guarantor DOB

Insurance ID

Insurance Group

Any comments or questions?