We are slowly rolling out our patient portal and its features. To activate your child’s account please complete the applicable forms below, then bring/fax/mail them to our office. We do not have encrypted email that is HIPAA compliant, so these forms cannot be emailed to us at this time.
The following forms are necessary prior to your initial visit. For your convenience, we have provided them here on our website so that you may have them ready at the time of your first visit.
The following forms are informational. The first describes our policy concerning patient forms and the next is an informational reminder to new parents about adding a new child to an insurance policy.
Our providers may direct you to one or more of the following forms to aid in the diagnosis and/or treatment of various clinical situations.
*As of January 1, 2009, we will start charging $5.00 to complete all school, college and camp forms for our patients. The charge will be for each form requested and payment will be collected before the form is completed. We require between 3-5 business days to complete the forms. You may then either pick them up at the office of your choice or provide us with a self addressed stamped envelope for mailing. You will need to complete a HIPAA release form if you want us to mail the form anywhere other than your home address. Please be aware that if the form has specific lab requirements or immunizations you need to make sure these have been met before we can even complete the form. A delay in obtaining lab work will of course increase the time frame to complete your forms.