For your convenience, we have made several patient forms available to be downloaded and printed prior to your visit. By completing these forms in advance, you will help us to serve you in a more efficient manner.
New Patient Forms:
Office Policies and Consent Forms
History Questionnaire
School Forms:
Policy for Completion of School Forms
Forms Request
(use this to request the completion of any form)
(Physical Forms will not be completed during an office visit.)
ADHD Treatment Forms:
ADHD Parent Follow Up
ADHD Parent Initial
Medical Release Forms:
Medical Records Release – INCOMING
(to request a copy of your child's records to be sent to another practice)
Medical Records Release – OUTGOING
(to request a copy of your child's records to be sent to another practice)
Medical Records Release – MENTAL HEALTH
(to request your child's mental or behavioral health records be sent to another office)
What to Expect
Upon arrival, you will be asked for the completed forms (unless you faxed the forms in advance) AND the following items:
•If your Health Plan requires a Co-payment, it will be collected when you check in.
•Photo ID of Parent or Guardian
•Health Plan Insurance ID Card (MUST BE CURRENT) for each active policy for the patient
•Previous medical records if applicable
