Patient Forms

All new patients must complete these forms and bring them to their first appointment.

Submit to your child's previous care provider before your first appointment with us.

Request your child's records to be sent from our office to a new care provider.

Bring the notarized consent form to grant permission to a non-custodial caregiver

Must be signed by all who use an alternate vaccine schedule or refuse vaccinations.

This signed form is required to document the refusal of vaccines

HIPAA Privacy, Security, and

Enforcement Rules

NICHQ Vanderbilt assessment scale for diagnosing ADHD.