Welcome to Our Forms Page

Even though we have electronic medical records, paper forms are still in use. 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 for your child’s appointment.

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Newborn Patients

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

Patient Information and Consent Form
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Established Patients

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

Patient Information and Consent Form
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Transferring Patients

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

Patient Information and Consent Form
Records Release Form
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HIPAA

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

HIPAA

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.