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Pedimundo Responde

Parent / Responsible Adult & Pediatric Patient Registration

Legal adult or parent responsible for the pediatric patient.

Parent Full Name *

Username *

Email Address *

Password *

National ID / Passport Number *

Relationship to Patient *

Primary Phone / WhatsApp *

City *

Home Address *

Emergency Contact Name

Emergency Contact Phone

Initial pediatric child profile (additional children can be added anytime).

First Name *

Last Name *

Date of Birth *

Biological Sex *

Blood Type

Child ID / Birth Certificate

Known Allergies (Food, Meds, Environmental)

Chronic Conditions (e.g., Asthma, Diabetes)

An active monthly subscription is required to book appointments or start live video/chat consultations.

Individual Child Plan

$29.99 / month

Best Value

Family Care Plan

$49.99 / month

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