Patient Information
817-453-7770Hours
Mansfield Pediatrics begins answering phones for appointments at 7:30 AM. Doors open at 8:00 AM with our first schedule appointments at 8:15 AM. Our providers’ schedules vary in their start and end time for the day, but our office building remains open until 5:00 pm.
After Hours
On weekdays between 5:00 PM and 7:30 AM, weekends, and holidays, call 817-453-7770 for instructions to reach the after-hours Children’s Health Nurse Advice Line. The doctor on call will be contacted by the nurse if required.
Please contact the Children’s Health Nurse Advice Line first, as we want to prevent unnecessary trips to Urgent Care or Emergency Departments. If you do need to be seen, we recommend the following providers:
New Patients
Before your visit, please download the new patient forms below. Print and complete the forms and bring them to your appointment.
New Patient Forms
Telemedicine Consent Form
New Baby Form
New Patient Form
ImmTrac2 Immunization Registry – Minor
ImmTrac2 Immunization Registry – Newborn
Patient Demographic Form
Non-Parental Consent
Office Financial Policy
Medical Records Release (them to us)
Medical Records Release (us to them)
General Consent for Treatment and HIPAA Acknowledgement
Please download, fill out this form and email to frontoffice@mansfieldtxpediatrics.com
Use the free Adobe Acrobat Reader to fill out and sign this form. Adobe Acrobat Reader: https://get.adobe.com/reader/
Third Party Forms
Insurance, disability, FMLA, etc., may require up to seven days to complete. Daycare, school, and sports clearance will take 24-48 hours to be completed. These forms require a completed well-child checkup within the past year.
Insurance
We accept most major insurances. We do not accept Medicaid, Molina, Amerigroup, or Ambetter. Please call the office for more information!
1825 Cannon Dr
Mansfield, Texas 76063
Monday 8:00 AM - 5:00 PM
Tuesday 8:00 AM - 5:00 PM
Wednesday 8:00 AM - 5:00 PM
Thursday 8:00 AM - 5:00 PM
Friday 8:00 AM - 5:00 PM
Saturday & Sunday - Please contact the Children’s Health Nurse for advice
