Terra Linda Pediatrics
OFFICE (415) 479-8642 
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Registration Information

Dear Families,

To make sure that our office is the best fit for your family, please call us to set up a meet-and-greet appointment where you'll have the opportunity to meet Dr. Yamaguchi, our pediatric nurse practitioner, Catie Straut, and the rest of our wonderful staff.

If you wish to join our practice, please take the time to print and fill out the following forms:

New Registration Forms (as of October 1, 2018) 
0-11 years:

tlp_registration_packet_0-11_years_.pdf
File Size: 971 kb
File Type: pdf
Download File

12-17 years:

tlp_registration_packet_12-17_years.pdf
File Size: 1126 kb
File Type: pdf
Download File


Immunization Registry:

cair_decline_eng.pdf
File Size: 30 kb
File Type: pdf
Download File


HIPPA Privacy Notice:

tlp_notice_of_privacy_practices.pdf
File Size: 589 kb
File Type: pdf
Download File


Records Release from Prior Pediatricians

records_release_auth.coming_(2).doc
File Size: 24 kb
File Type: doc
Download File


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