New Pediatric Patients
Bloomington Pediatrics and Allergy welcomes new patients! Choosing the right pediatrician for your child is one of the most important decisions you will make. By selecting our practice, you can feel comfortable and confident that you have made the right decision.
Bloomington Pediatrics and Allergy strives to provide the best in preventive, acute and ongoing medical care in a compassionate, safe and confidential setting. To fulfill this mission, we are committed to:
-Improving young lives by providing the highest quality of health care.
-Listening well to our patients and their families whom we are privileged to serve.
-Guiding our patients and families along paths toward optimal health and wellness. -Continually pursuing excellence.
Print and complete this form if you are a new patient or if you have not registered in our electronic medical records system yet. Please bring it with you to your next visit at our office or drop it off ahead of time if that is convenient for you. Thanks!
Print and complete this form if you are transferring your medical records. Please mail it or drop it off at our office. We will copy and send out your records within 10 business days at no charge.
Landmarks: We are located immediately west of OSF St. Joseph's Medical Center and just south of Eastland Mall.
Your Child's First Visit
Our receptionists, nurses and pediatricians do whatever it takes to make every visit to our office a good experience for your child and you. We look forward to meeting you!
We invite you to explore our web site so that you will know more about what to expect from us. We also welcome your phone calls so that we can answer any questions that you might have.
As you prepare for your child's first visit, you can do a few things to help it go as smoothly as possible. Talk to your child in general terms about what to is going to happen. Choose to come at a time of day that is convenient for you and fits well into your child's daily routine. Arrive at least 15 minutes early. And bring with you: insurance card(s); medical records (It is helpful if you can send those before the visit.); check, cash or credit card to use for any co-payment you may have.
Thank you for choosing Bloomington Pediatrics and Allergy!
New Allergy and Asthma Patients
Please call Dr. Ulbrich's nurse at 309-662-0504 to schedule your first appointment.