Become a Dove Peds Patient Today!

Call/Text Us
(910) 634-3555)

Email Us
office@dovepeds.com

Clinic Hours

Mon: 9am - 4pm
Tues: 9am - 4pm
Wed: 8am - 3pm
Thurs: 11am - 6pm
Fri: 8am - 1pm
Sat: By Appointment
Sun: Closed

NEW Clinic address!

200 Doctors Dr., Suite B Jacksonville, NC 28546

Attention Interested Patients!

Right now, we have a waitlist and will be pausing new enrollments. We are only accepting newborn patients, but we’re pleased to offer a waitlist for others. This allows us to reach out to you as soon as a spot becomes available, ensuring you don’t miss the opportunity to join our care!

Ready to Enroll?

Fill out the short enrollment form below with the patient's information. You will be placed on the waitlist, and once a spot becomes available, you will receive further instructions to complete your enrollment. Please review the Terms of Service prior to submission.

*Enrollment is not complete until enrollment forms and enrollment fee are received.

Patient Name

First Name

Last Name

Patient Date of birth

MM

DD

YYYY

Gender

Parent/Guardian Full Name

Phone Number

(###)

###

####

Parent Date of Birth

Email

Address

Preferred Contact Method

How did you hear about Dove Pediatrics?

Additional Patients

I have reviewed and agree to the Terms of Service (link above)

Yes

No

I understand that Dove Pediatrics is a membership-based Direct Primary Care Clinic and does NOT accept insurance of any kind

Yes

No

I consent to have my doctor communicate via potentially non-secure methods including text (SMS) or email

Yes

No

**Please note: Answering "No" to any of the questions above renders your enrollment incomplete and we will not proceed with processing your enrollment.

Questions?

Please use this form to ask any remaining questions you have, to get in touch with our office, or to indicate you'd like to donate a membership. We will be in touch with you as soon as possible.

If you are donating, you may give as little or as much as you are able; all will be appreciated. Please indicate your donation amount per month or one-time in the comments section. We will contact you to complete the donation.

Name