If you have an intake scheduled with our clinic, please complete the paperwork on this page prior to your appointment. This will allow you more face to face time with your provider. Please still arrive to your appointment 10 minutes early. If you have any questions about the paperwork, please do not hesitate to contact our office.
Patient Contact Information Sheet
Consent for Treatment
Release of Information (ROI)
-A Release of Information (ROI) is needed to contact other provider(s) you feel we should communicate with for additional information regarding your concerns about your child.
Pediatric Symptom Checklist
HIPAA Notice of Privacy Practices