We are excited that you have chosen Traverse Area Pediatric and Adolescent Clinic for your child's medical care. Your comfort and convenience are our priority, and we strive to make every visit to our office a positive experience. To help you get acquainted with our office and first visit procedures, we have included helpful information on this page.
Our Mission
Traverse Area Pediatric and Adolescent Clinic is committed to providing excellent medical care and support for young people and their families in Traverse City and the surrounding region. Our goal is to make a difference in the lives of children and adolescents by providing quality healthcare in an environment built on knowledge, innovation, honesty, respect and fun. We believe that the goal of pediatric care is to work with the parent and child to achieve the best health possible. We accomplish our goals through parental guidance, teaching of safe and healthy lifestyles, screening and early detection of illnesses, and thorough prompt and aggressive treatment of diseases when they do occur. Our constant objective is to assist parents in protecting and raising their children in order for them to reach their full potential as healthy, happy, well-adjusted, independently functioning adults.
Patient Forms
Here are some common forms used by TAPAC patients and families. Just click on the links for PDF copies you can download, print, begin to fill out, and bring to our offices for your next visit.
New/Transfer Patient Forms
Please complete both the medical record release forms and the patient information forms.
- Financial Policy
- Patient and Family Information Form
- HIPAA Authorization Form
- Form FAQs
- Eighteen and Older Patient Form
- Records Release to TAPAC Form
- Records Release to Another Clinic Form
- Exchange of Information/Permission to Discuss
Please complete the health history and/or demographics portion prior to your physical.
Please have the child's personal and parent sections completed before seeing the doctor.
Authorization Forms
If someone else other than a parent/guardian will be bringing your child to an appointment.
School Medication Authorization Forms
Behavioral Forms
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
The Initial Visit
Our compassionate pediatricians do whatever it takes to make every visit to our office a pleasant, relaxed experience. With all of the important information about our practice available on our website, you can feel confident that you and child are well-prepared for your first appointment. We also invite you to review our staff page in order to get to know our doctors and staff. We look forward to meeting you.
Directions
On West Royal Dr. off Cedar Run Rd. near the Oleson’s Plaza