Patient Forms
Download Documents
To help speed up the check-in process, especially at your first appointment, you can download, print out, and complete the patient forms below before your visit. Have questions? Call (205) 946-0725.
To help speed up the check-in process, especially at your first appointment, you can download, print out, and complete the patient forms below before your visit. Have questions? Call (205) 946-0725.
Please call us to schedule an appointment.
Children need more than just routine checkups. To grow strong in body, mind, and spirit, each child needs a combination of care and services to meet their unique needs.
Far too many children and families in our country — and around the world — struggle to access the care they need. At Christ Health Pediatrics, we work with each family to provide them with the care they need in the most affordable way possible. The ability to pay will never affect the quality of care we deliver. That’s our promise to each child and family we serve.
We’re committed to caring for the whole child and also providing wraparound services to support the well-being of children and their families.
It is estimated that more than one million Alabamians qualify for Medicaid Benefits, with children making up a significant portion of the eligible beneficiaries. However, many people find the application process challenging and, in turn, don’t take advantage of these valuable benefits.
At Christ Health Pediatrics, we provide hands-on assistance with Medicaid applications. In fact, we will help you every step of the way to ensure you get the benefits and care you qualify for and deserve. When you call to make an appointment, please let the scheduler know you would like to apply for Medicaid at your visit so we can make sure our staff is ready to help.
We do the same with ALL Kids, a low-cost, comprehensive healthcare coverage program for eligible children under age 19. ALL Kids benefits include regular checkups and immunizations, sick child doctor visits, prescriptions, vision and dental care, hospitalization, mental health and substance abuse services, and much more.
(On the back-side of the YMCA)
628 Red Lane Road
Birmingham, AL 35215
Phone: (205) 946-0725
Schedule Appointment
(Medical and Dental Care)
5720 1st Avenue South
Birmingham, AL 35212
Phone: (205) 380-9455
2152 Old Springville Rd
Birmingham, AL 35215
Phone: (205) 838-6000
(Mental Health and Pharmacy)
5804 1st Avenue South
Birmingham, AL 35212
Phone: (205) 972-0264