POLICIES

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

FORMS

ASTHMA/ALLERGIES

• Asthma Action Plan [PDF] [Online Form]
• Asthma Questionnaire ages 4-11 [PDF] [Online Form]
• Asthma Questionnaire ages 12-21 [PDF] [Online Form]
• Food Allergy Action Plan [PDF] [Online Form]

CONCUSSION

• Concussion Initial Evaluation 12 years and younger [PDF] [Online Form]
• Concussion Initial Evaluation 13 years and older [PDF] [Online Form]

MENTAL HEALTH

• ADHD Initial Evaluation [PDF] [Online Form]
• ADHD Follow Up Visits [PDF] [Online Form]
• Depression Screen PHQ9 [PDF] [Online Form]
• Postpartum Screen EPDS [PDF] [Online Form]

PHYSICAL FORMS

• Child Care Centers [PDF] [Online Form]
• Preparticipation Physical Form [PDF] [Online Form]
• School Entry Physical Form [PDF] [Online Form]

• Registration Form (Required Yearly) [PDF [Online Form]
• Record Release [PDF] [Online Form]
• Record Request Outgoing [PDF]