Notification of Receipt of HIPPA Practices - Download and print out this form after reviewing the HIPPA policy above. By federal law, all patients must have this form in their chart to show they are aware of the steps our practice takes to protect their private medical information.
New Patient Information Form - New patients can download this form and bring it to their first appointment. It asks about your child's past medical history including birth history, illnesses, surgeries, allergies and family history. This information will be reviewed by the doctor or nurse practioner at your child's first visit.