New Patient Information
RequiredRequired for all new patients. Includes demographic, insurance, and guarantor information.
5–10 min
Patient Resources
Access important forms and information to help prepare for your child's visit with us.
Patient Forms
- Download PDF
- Download PDF
Consent for Treatment
RequiredAuthorizes Mississippi Children's Heart Clinic to evaluate and treat your child.
2 min
- Download PDF
Patient Notice & Clinic Agreement
RequiredReviews important office policies, appointments, prescriptions, and communication expectations.
2–3 min
- Download PDF
Authorized Persons / HIPAA Disclosure Form
OptionalDesignate family members or caregivers who may receive medical information or bring your child to appointments.
2 min
- Download PDF
Release of Information Authorization
As NeededAllows us to request medical records from another provider.
2 min
- View / Download PDF
Notice of Privacy Practices
For ReferenceExplains how your health information is protected and your privacy rights under HIPAA.
Need Help?
If you have questions about which forms to complete before your appointment, our team is happy to help.
Helpful Articles for Families
Plain-language guidance on pediatric heart symptoms, testing, and when to seek care.
August 2026
Healthy Kids Can Have High Blood Pressure Too!
Up to one in every twenty children has hypertension, and most of them feel completely fine. A pediatric cardiologist explains why blood pressure is rising among Mississippi children, why a single high reading is not a diagnosis, and how elevated blood pressure is evaluated and treated.
Read Article
July 2026
When Is It Too Hot for Kids? A Pediatric Cardiologist's Guide to Staying Safe During Mississippi's Summer Heat
Most children can safely enjoy the outdoors, even during Mississippi summers, when families know how to recognize heat illness. A pediatric cardiologist shares five pearls, the warning signs of heat exhaustion and heat stroke, and guidance for children with heart conditions.
Read More
June 2026
Does My Child Need a Heart Doctor? Signs Parents Shouldn't Ignore
Most heart symptoms in children are harmless — but some deserve a closer look. Here is what parents should know about when a child needs to see a pediatric cardiologist.
Read More
May 2026
Summer Sports, Heat, and Hydration: Tips for Young Athletes
Heat and dehydration put extra stress on a child's heart and body. Here's what parents and coaches need to know before summer sports season begins.
Read More
April 2026
Why Follow-Up Matters in Congenital Heart Disease
Many children with congenital heart disease grow up to live active, fulfilling lives. But even when everything seems stable, ongoing monitoring remains essential.
Read More
March 2026
Fainting (Syncope) in Children and Teens: When Is It Serious?
Few things are more frightening for a parent than watching a child faint. The good news is that fainting is common in children — but certain patterns do deserve a closer look.
Read More
February 2026
Understanding Palpitations in Teenagers
Few things are more unsettling for a parent than hearing their teenager say, 'My heart was racing.' Here's what palpitations usually mean — and when to get checked.
Read More
January 2026
Sports Physicals and Cardiac Screening in Young Athletes
How do we know if a child's heart is safe for sports? What does cardiac screening actually involve, and when is a referral to a cardiologist the right call?
Read MoreHave questions about your child's heart health?
Our team is here to help families understand what symptoms mean and when to seek care.