Patient Forms  
   
Feel free to download, print, and fill out the following forms prior to your child's visit. Just bring them in at the time of your appointment and see the doctor even faster!  
   
You will need the Adobe Acrobat Reader to view and print the forms. If you do not already have it you can download it for free here:

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Patient Registration Form  
Please complete one form per child  
   
Patient Insurance Information Sheet
Please complete one form per child
   
Patient History Form  
Please complete one form per child  
   
Authorization for Medical Treatment  
Please complete one form per child  
   
Notice of Privacy  
For review purposes only - You do not need to bring this form with you  
   
Notice of Privacy- Sign Off   
Please print and sign this document verifying you have read our Notice of Privacy form. Please complete and sign one form per child.  
 
Record Release Authorization Form  
Please complete one form per child  
 
Financial Policy   
Please print and sign this document verifying you have read our Financial Policy form. Please complete and sign one form per child.