Become a Patient

Signing up for the New Portal

Only patients registered with Forest Lane Pediatrics, LLP can self-register on the portal.

New Patients

New Patient, Prenatal & Prenatal Class AppointmentsOur pediatricians offer complimentary interviews with families wishing to transfer to Forest Lane Pediatrics and become our new patients. Our website has detailed information about our board certified pediatricians, along with parent testimonials. We offer you a choice when choosing your doctor so that you have the best fit possible for your child and backup doctors whenever you need. All the physicians at Forest Lane Pediatrics are currently accepting new patients.

Please contact our office staff for assistance with the transfer of your child’s personal health information.

We would like to thank you for considering Forest Lane Pediatrics. Our pediatricians are honored to be your healthcare partner and your child’s advocate, we want you to know that your concerns will be heard and addressed. Our pediatricians provide thorough head-to-toe exams at well-child visits, provide detailed and accurate medical information, and efficiently follow-up on labs and treatments.

Expecting Moms

Congratulations on your pending arrival! To help you choose a pediatrician, we offer a complimentary prenatal visit to meet our doctors at either or Dallas, Frisco, or Mesquite office.

We strive to provide outstanding pediatric care for the families who entrust their child’s well-being to our experienced team of board certified pediatricians. The goal of our practice is to not only meet but exceed your expectations!

All the physicians at Forest Lane Pediatrics are currently accepting new patients.

  • Board Certified Pediatricians: We offer you a choice when choosing your doctor so that you have the best fit possible for your child and backup doctors whenever you need. All the physicians at Forest Lane Pediatrics are currently accepting new patients.
  • Read about D Magazine Voted Best Pediatricians, DFW Child Magazine Mom Approved Doctors and our doctors in the news.
  • On Call Doctor 24/7: Available for urgent questions 24 hours a day
  • Experienced Nursing Staff: We care and know how to listen
  • Separate Sick and Well Waiting Rooms: To protected your child from illness
  • Full-Service Pediatric Care: Newborn hospital care, routine well-child care, comprehensive diagnosis and treatment of illnesses, sports physicals, and circumcisions.
  • In-Office Laboratories: Convenient and with quick results
  • Up-To-Date Advancements In Pediatric Care:

Vaccination Policy

Please be advised that our physicians believe that all children should be fully immunized unless there are medical contraindications. Therefore, you will need to bring a copy of your child’s immunization records to the first visit in order to be seen. We are unable to accept new patients/families unless they are willing to fully comply with the recommended timetable for vaccine administration per the American Academy of Pediatrics. We believe this policy advocates for children and their best interest. Please see our Immunization Schedule.

Want to learn more about Forest Lane Pediatrics, visit our Libraries and FAQ page for common questions from expecting parents.

We now have three office locations to serve you, conveniently located near major access roads and with plenty of parking.

Dallas Office(Medical City Dallas) 972.284.7770

Frisco Office (Centennial Hospital) 972.526.0700

Mesquite 972.629.2250

Want to save time and hassle by filling out your forms before you come to the office? Create an account on our Patient Portal so that you can view your child’s Electronic Medical Record, and download and complete our Patient Forms (see below) prior to your visit.

Patient Forms

Authorization for Release of Medical Information (PDF) – Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility.

Authorization and Consent for Treatment (PDF) – All patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility.

Preventive Medical Visit Patient Information (PDF) – Details financial responsibilities regarding preventive medical visits.

Preferred Contacts (PDF) – Patients are encouraged to complete and return the Preferred Contacts Form but it is not required.

Become a New Patient

We are currently accepting new patients into our practice. Thank you for considering us. To become a new patient click here.

When you come to our office for the first time as a new patient, we’ll ask you to complete some initial forms, including the Authorization and Consent for Treatment form, prior to your appointment.

To make sure there are no delays in care during your first visit experience, please arrive 15 minutes prior to your scheduled appointment to ensure your registration is complete before meeting with your new provider.

Remember to bring:

  • Your insurance card
  • Valid photo ID
  • List of current medications
  • Office co-pay

In an effort to respect the time of all of the patients, our staff strives to stay on schedule so that other patients do not have to wait.

For patients who are delayed and arrive late for appointments, every effort will be made to see them the same day. However, wait times may apply, or appointments may need to be rescheduled.

Office Policies

Financial Policy (PDF) - This form advises patients of their complete financial responsibility for all medical services received without regard to insurance eligibility or coverage determinations. Política Financiera (PDF)

Notice of Privacy Practices (PDF) - Describes how health information about you (as a patient of this Care Center) may be used and disclosed, and how you can get access to your individually identifiable health information. Please review this notice carefully. Aviso de prácticas de privacidad (PDF)

HIPAA Privacy Notice

Pediatric Place Medical Records

To request medical records from Dr. Samara’s prior practice, Pediatric Place, please download this Medical Records Release Form, complete it, and fax it to Dr. Samara at 972.526.0990 or email it to

External Content Disclaimer

*Please note that pages of this site may be linked to other websites, which may have different terms of use and privacy practices than Privia Medical Group. Privia does not own, control, manage, supervise, direct, or otherwise have involvement in such other websites or the content of such websites. Privia is not responsible for the content of any linked websites. Privia is not acting as an agent for these websites, nor does Privia endorse or guarantee, in any way, their websites, content, or products. Privia makes no representation or warranty regarding the accuracy of information contained in linked websites, takes no responsibility for the use of copyrighted or otherwise protected materials on such linked websites, and has no control over the privacy practices or use of user information at such linked websites.