New Patients

On behalf of the entire Division of Pediatric Gastroenterology at Hasbro Children's Hospital, we feel privileged to care for your child.

Make An Appointment

For more information or to make an appointment, please call 401-444-8306.

Medical History Forms

Please fill out one of the following three medical history forms according to your child's age, and bring to your first appointment. Forms require Adobe Acrobat Reader. If you don't have it installed you can download it now for free.)

Children from 0 to 5 (PDF)
Children from 6 to 12 (PDF)
Children 12 and over (PDF)

Additional Forms

Authorization for use of protected health information (PDF)