Patient Forms

Welcome New Patients to Our Pediatric Practice

We are accepting new patients.Shay Darcey, NP, and Kate Wolf, NP, are Sarah Logan are all accepting new patients. We will also have a new provider starting in February, Dawn Torres, NP.

To become a new patient, all you need to do is 1st call your insurance company and add the provider you would like to register with (you can read about them on our website). If you have MassHealth, you need to call MassHealth and add Revere Health Plan as your ACO and add Quality Kids Kare, PC as your provider. After you change your insurance, give us a call at 508-754-4200 or 508-753-3120 and ask to register as a new patient. Be sure to have your insurance card handy.

Please note that children under 18 will not be given vaccines without parental or guardian consent.

Patient Forms

Are you new to our practice? Please download all forms and bring them to your first appointment. Remember to bring your child's immunizations to the 1st appointment!

New Patient Registration New Patient Registration (Spanish)

If you have decided to leave our practice or are new to our practice, please download this form to request medical records from either Quality Kids Kare, PC, or your previous pediatrician.

Medical Release Form

Specialist List

Does your child need to see a specialist? To download our list of specialists in the area, please click the link below:

Specialist List

Get in Touch Today!

For more information on our patient forms and what is needed when you first come into our pediatric office, call us today at 508-753-3120 in Worcester, MA.