You’ll Be Glad You
Joined Our Family

Forming a Path for Comprehensive Care

We want to thank you for choosing Pinnacle Pediatric Clinic for your pediatric care needs. In order to make optimal use of your time and streamline your first visit into our office, we kindly ask that you download and print these PDF forms prior to your appointment. The forms can be filled out either electronically or by hand. Your medical history is the roadmap to your health’s future, so please be as complete and thorough as possible when filling out the New Patient forms in order to help us provide you with the highest quality of care possible.

If you have any questions, please call us at

(701) 478-4722 or
email us at info@pinnacle.clinic

Please thoroughly read our vaccine policy prior to scheduling your appointment. Thank You.

Keeping Your Growing Family Growing