POLICIES

• Appointments Phones Insurance Referrals Prescriptions
• ADD ADHD Prescription Policy
• Antidepressant and Birth Control Policy
• Discharge Policy
• Divorce Policy
• Financial Policies
• Health Form Policy
• HIPAA Privacy Notice
• Immunization Policy
• Patient’s Rights and Responsibilities

FORMS

ASTHMA/ALLERGIES

• Asthma Action Plan
• Asthma Questionnaire ages 4-11
• Asthma Questionnaire ages 12-21
• Food Allergy Action Plan

CONCUSSION

• Concussion Initial Evaluation 12 years and younger
• Concussion Initial Evaluation 13 years and older

MENTAL HEALTH

• ADHD Initial Evaluation
• ADHD Follow Up Visits
• Depression Screen PHQ9
• Postpartum Screen EPDS

PHYSICAL FORMS

• Child Care Centers
• Preparticipation Physical Form
• School Entry Physical Form

• Registration Form (Required Yearly)
• Record Release