You can download the following forms or pre-register on our secure Patient Portal.

• Child Health Form
• Patient Registration Form
• Financial Responsibility Form
• Cancellation Form
• HIPAA Form
• Credit Card Policy

• Authorization for 18+ yr old patients to share medical information
• Medical Records Release
• Medical Records Release from Our Office
• Physician's Report- Child Care Centers
• Health Exam for School Entry
• Authorization for Medications at School
• Youth Football Form

• ADHD Parent Follow-Up Form
• ADHD Parent Initial Form
• ADHD Teacher Follow-Up Form
• ADHD Teacher Initial Form
• GAD-7
• SCARED Anxiety Screen (child to complete)
• SCARED Anxiety Screen (parents to complete)
• PSC-17
• PHQ-9 (Modified for Teens)
• PHQ-9 (Adult)

• MCHAT
• Edinburgh Postnatal Depression Scale

There is an administrative fee to cover expenses related to completing forms and writing letters, such as those for school, sports or medical accommodations.  These tasks require time and resources from both the staff and providers and reflect a service that is not covered by insurance companies.

Fees:

• Forms (including physicals, camps, sports, travel and more)   $25.00
• Letters of medical necessity                                                             $25.00
• Same day fee (in addition to above)                                               $25.00
•  Legal forms/documents (1 page)                                                     $50.00
• Legal documents (multiple pages)                                                  $100.00

All paperwork requires a 48 hour minimum turnaround time.

 We are unable to complete or generate any recommendation letters or forms regarding family law or legal matters without a subpoena or other official court document.