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Forms & Docs

“Save time at your visit — download and complete these ahead of time,
or bring them with you.”

To provide your family with the best service, we have some policies to ensure things run smoothly

New patient paperwork

Before your first visit

Contact, insurance, and demographic details we keep on file.

Your child’s own conditions, allergies, surgeries, and current medications.

Family medical history and details about your child’s birth.

Consent for us to use and share health information to coordinate care.

Policies & authorizations

Our appointment policy and the $50 no-show fee. Please review and sign.

Authorize us to share records with a school, provider, or family member.

For patients turning 18: staying with us or transitioning to adult care.

Prefer paper? Printed copies are available at the front desk. Questions about any form? Call us at (518) 439-5611.