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Patient Forms

Check here for information about your child's general health, such as development questionnaires, and issues such as ADHD questionnaires, autism, asthma, and anxiety. You will also find new patient questionnaires and registration forms.

Click on any title to open and print a PDF file using Adobe Acrobat Reader. If you don't have the reader installed on your computer, you can download a free copy of Acrobat Reader here.
12-Month Developmental Questionnaire
Please download, complete, and bring to your child's 12-month well-child check!
24-Month Developmental Questionnaire
Please download, complete, and bring to your child's 24-month (2 Year) well-child check!
ADHD Questionnaire For Parents
ADHD Questionnaire For Teachers
Adolescent Depression Questionnaire
Adolescent Girl Questionnaire
Adolescent Guy Questionnaire
Anxiety Questionnaire
Asthma Questionnaire
Headache Questionnaire
Medical Records Release
Medical Treatment Authorization
New Patient Questionnaire
New Patient Registration
Notice of Privacy Practices
Tardiness, Missed Appointment, & Termination Policies
Welcome Page & Clinic Information


  


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