In this section
Primary care
- Primary care appointment request form
- Lead testing
- Patient-centered medical home
- Locations
- Primary care e-visits
- Viral illnesses resources
- Vaccine resources
- Our pediatricians
- Urgent care
- Forms
- MyChart
- Teen Health Clinic
- Improving access to primary care
- Healthy Baby, Happy Parent podcast
- Triple P: Positive Parenting Program
Request an appointment at West Bend Pediatrics
Fill out the form below, and you will be contacted to set up your appointment within 1-2 business days. If you are a MyChart user, you may schedule an appointment online.
Note: Do not use this form for urgent or emergency situations. Please call your doctor's office right away, or if this is an emergency, please visit your nearest emergency room. Learn more about Children's Wisconsin's ER.