Thomas Jefferson University Hospital, Center City Campus
111 South Eleventh Street
Philadelphia, PA 19107
» Get Map & Directions
Phone: (215) 955-6000
WHAT TO BRING
- photo ID
- medical and pharmacy insurance cards
- preferred pharmacy name and phone number
- names and dosage of all medications, including over-the-counter medication, your child is currently taking
- guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
New Patients
Bring these forms for your first appointment:
Returning Patients
- Patient Presents without Legal Guardian (PDF)
Note: A parent or legal guardian must be with a child for a first visit.
WHAT TO BRING + NEW PATIENTS
- photo ID
- medical and pharmacy insurance cards
- preferred pharmacy name and phone number
- names and dosage of all medications, including over-the-counter medication, your child is currently taking
- guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
New Patients
Bring these forms for your first appointment:
JUST RETURNING PATIENTS
Returning Patients
- Patient Presents without Legal Guardian (PDF)
Note: A parent or legal guardian must be with a child for a first visit.
FORMS & RESOURCES
New Patient Forms
Returning Patient Forms
- Patient Presents without Legal Guardian (PDF)
Note: A parent or legal guardian must be with a child for a first visit.
Resources for Patients & Families
- Insurance We Accept: See accepted insurance, listed by location
- Pay Your Bill: Use online bill pay or send by mail
- Financial Assistance: Help with your child's health care expenses
- MyNemours: Access your child’s medical record online
JUST NEW PATIENTS
New Patient Forms
JUST RETURNING PATIENTS
Returning Patient Forms
- Patient Presents without Legal Guardian (PDF)
Note: A parent or legal guardian must be with a child for a first visit.
RETURNING PATIENTS + RESOURCES
Returning Patient Forms
- Patient Presents without Legal Guardian (PDF)
Note: A parent or legal guardian must be with a child for a first visit.
Resources for Patients & Families
- Insurance We Accept: See accepted insurance, listed by location
- Pay Your Bill: Use online bill pay or send by mail
- Financial Assistance: Help with your child's health care expenses
- MyNemours: Access your child’s medical record online
