Contact uS

777 Franklin Gateway
Marietta, GA 30067
(770) 732-6007
(770) 732-8242  (Fax)

Our philosophy of care is to promote the health and well-being of our children. Our care goes beyond what is done in the office. We are here so that you can trust your child's health in our hands and rest assured that they will receive the best care possible.

copyright © 2016 Nuestros Ninos, Our Kids Pediatrics

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Parent Handouts

Parent Handouts

Parent Questionnaires

*** require additional forms 

CDC: Vaccines Information Statements

Patient Forms

Download the forms that you need, complete them and drop it off at our location or fax it to (770) 732-8242.

Note: New Patient Packets must be brought at the time of your appointment. If you need an appointment please contact us at 770-732-6007

Well Child Visits - Additional Forms ***

  • Required for Well child visits of 2 - 6 months of age. 

  • Required for Well child visits of 18 and 24 months of age. 

New Patients

  • New Patient registration

  • Financical Policy

  • Privacy Policy

  • Patient Authorization

  • Patient Family History

  • Patient Medical History

  • Medical Records Release Authorization

EStablished Patients

  • An authorization from Parent/Guardian to give permission​ for other person to seek medical treatment for patient


Nuestros Ninos Our Kids Pediatrics is actively monitoring the current Coronavirus (COVID-19) outbreak. The health and safety of our patients and employees remains a top priority and we will follow the CDC recommendations to help prevent exposure and spread of the virus.

Nuestros Niños Our Kids Pediatrics está monitoreando activamente el brote actual de Coronavirus (COVID-19). La salud y la seguridad de nuestros pacientes y empleados siguen siendo una prioridad y seguiremos las recomendaciones de los CDC para ayudar a prevenir la exposición y la propagación del virus.