Is Your Child Sick?TM

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Forms & Policies

If you are a new patient with us, we would appreciate it if you would download and complete the Family History Form, Late-No Show Form and the HIPAA Form and the Financial statement and bring them with you to your first visit. Thank you!
Please fill out the Patient History Form here
Refer to Skipping the Screen Time for additional information
Refer to Media Guidance for additional information
Certificate of Immunization
Our new vaccine policy as of January 1, 2016
Self Report for Child Anxiety Related Disorders
Screen for Child Anxiety Related Disorders