Various Forms

Even though we have electronic medical records, paper forms are still in use.  These can be downloaded from this website, so you can complete them before your child's appointment.

Welcome to our forms page

Why do we have downloadable forms? To make it easier for you.

Our office strives to be fully digital however, some things still need to be done with paper. For your convenience, you may download and complete the appropriate set of forms listed below prior to coming to the office.

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Newborn Patients

Our Newborn patients will need these documents. Please print and complete these forms:

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Established Patients

If you have a change of home address or insurance information, print and fill out this form:

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Transferring Patients

If you are transferring your child to our practice, print and complete these forms:

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HIPAA

HIPAA Privacy Policy.  Please download this important information for your records:

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Filling out forms takes quite a bit of our time, but will usually be completed within two business
days. Unless there are multiple forms, or if it is a longer complicated one, filling them out while
seeing you is usually possible.

We request two business days notice for medication refills. Prescription refill requests sent
electronically to us from a pharmacy or your portal account are refilled fairly quickly. However, If
there are questions or for some other reason we need to talk with you before authorizing the
refill, we will need the extra time.


Forms are in .pdf format.  If need Adobe Reader you can download it here for free. pdficon