Attached, please find important patient forms to be completed by a parent/guardian before each child's initial visit.

​

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The downloadable files contain 

​

• Patient Registration 

• Patient Health History

• Medication and Physician Registry

• General Consent for Treatment

• Confirmation Policy

• Temporary Guardianship Agreement 

• Notice of Privacy Practices

• Patient Acknowledgement and Consent of Privacy Practices