Patient Information
Knowing what to expect at your appointments and having an opportunity to fill out necessary forms prior to arrival provides an opportunity to get the most out of your upcoming visit.
New patients
Please arrive 20 minutes early and remember to bring the following:
- Insurance Card
- Immunization Records
- Patient Information Form
- Past Medical History Form
Current patients
Please bring the following:
- Insurance Card
Administrative Forms
- Request A Copy of Your Medical Records (for yourself)
- Request Medical Records Release (to a third party)
- Email and Text Authorization Form
- Patient Communication Form
- Telehealth Consent to Treatment: PDF; Microsoft Word
Certain questionnaires are important to your child’s pediatric care at specific visits. Please fill out the following forms for your upcoming visit if your child fits into one of these categories:
Well Visit Forms
- 1 Month Well Visit
- 2 Month Well Visit
- 9 Month Well Visit
- 18 Month Well Visit
- 2 Year Well Visit
- 2.5 Year Well Visit
- 4 – 10 Year Well Visit
- 11 – 13 Year Well Visit
- 14 – 21 Year Well Visit
Other Visit Types
- Initial ADHD Visit
- Follow-up ADHD Visit
- Initial Anxiety / Depression Visit
- Follow-up Anxiety / Depression Visit