New Patient Registration

Please follow these steps to save valuable time and minimize your paperwork.

1. Please contact your insurance company to:

Ensure Serenity Pediatrics is within your network and confirm the practice location: 71 E. Long Lake Rd. Bloomfield Hills, MI 48304
Please make sure one of our Serenity Pediatrics physicians is listed as your Primary Care Provider (PCP)

2. To save on waiting time, please fill out the three (3) forms below. When registering more than one child, please fill out registration for each child individually. All registration parts should be completed with the child's information and not the parent's information.

Registration: Part 1 of 3

Registration Part 2 of 3

Please print one of the following medical history forms to bring with you to your first visit. Please use the "Newborn Medical History Form" if you are registering a newborn or infant less than 3 months old and the "New Patient Medical History Form" if you are registering all other ages.

Newborn Medical History Form- Part 3 of 3

New Patient Medical History Form- Part 3 of 3

Please allow 3 business days from time of form submission for processing and verification by our office. Once we have received all registration information, we will contact you to schedule an appointment.

If you have any questions or concerns, please contact us at (248)- 533- 0000.

We thank you and are honored to be your healthcare provider!