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.
ADHD Treatment Forms:
- ADHD PARENT FOLLOW UP – Download PDF | Submit Online
- ADHD PARENT INITIAL – Download PDF | Submit Online
- ADHD TEACHER FOLLOW UP – Download PDF | Submit Online
- ADHD TEACHER INITIAL – Download PDF | Submit Online
Medical Release Forms:
- MEDICAL RECORDS RELEASE – INCOMING – Download PDF | Submit Online
(to request a copy of your child’s records to be sent to another practice)
- MEDICAL RECORDS RELEASE – OUTGOING – Download PDF | Submit Online
(to request a copy of your child’s records to be sent to another practice)
- MEDICAL RECORDS RELEASE – MENTAL HEALTH – Download PDF | Submit Online
(to request your child’s mental or behavioral health records be sent to another office)
New Patient Forms:
- OFFICE POLICIES AND CONSENT FORMS – Download PDF | Submit Online
- HISTORY QUESTIONNAIRE – Download PDF | Submit Online
- DEMOGRAPHIC FORM – Download PDF | Submit Online
- PATIENT PORTAL REGISTRATION – Download PDF | Submit Online
- CONSENT TO TREAT MINOR CHILD – Download PDF | Submit Online
- NOTICE OF PRIVACY PRACTICES – Download PDF
School Forms:
- POLICY FOR COMPLETION OF SCHOOL FORMS – Download PDF | Submit Online
- FORMS REQUEST – Download PDF | Submit Online
(use this to request the completion of any form)
- SPORTS PHYSICAL FORM – Download PDF | Submit Online
(Physical Forms will not be completed during an office visit.)
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