Medical Records Release Forms
- Authorization to request/disclose medical information
- To request information from previous provider
- Share information with parents, school, counselor, or family members
New Patient Forms
- Registration Form
Save yourself time in the office by filling this out ahead of time and bring when you are a new patient to our clinic.
- Foster Parent Registration
If patient has recently transferred to foster care status or is new patient to our clinic while in the care of a foster parent, use this form to register.
- Medical History Form
This form allows us to learn medical history of patient when new to the clinic or has been a while since we've seen you.
- School Sports Physical Form - (Spanish)
This is form to be filled out following sports physical for the school. Page one is for the parent and page two is filled out by the provider.
- Screening Forms
ADHD forms, autism screening tools and depression screens can be found here and filled out prior to your visit.
- Family Assistance Plan Application - (Spanish)
- Online Portal Sign-up Form