Download Forms and Parent Information Handouts

Medical Concerns By using the section below, you can download forms to fill out before your office visits, informative handouts on various illnesses, vaccines, and overall health and wellness.

Online Consent Forms

Consent for Medical Treatment

Financial Policy/HIPAA

Consent to Participate in a Telemedicine Appointment (2020)

Administration Forms

Newborn Welcome Letter

Patient Demographics

Consent for treatment

Young Adult consent (18yr+)

HIPAA/Financial Policy

Patient and Family History

Medical Release Authorization

Office policies


Nutrition & Weight

Obesity - Information Handout

Nutritional Counseling (under age 8)

Plant Based Milk

Vitamin D- Deficiency

Nutritional Cholesterol

Stage Well Visits

Hospital Discharge

Newborn visit

2 Week Visit

1 Month visit

2 Month visit

4 Month visit

6 Month visit

9 Month visit

12 Month visit

15 Month visit

18 Month visit

2 Year visit

30 Month (2.5 year) visit

3 Year visit

4 Year visit

5 Year visit

6-10 Year visit

11-16 Year visit

17 Year to Young Adult visit

Social Handout 11-16 year olds

Medical Concerns

Antibiotic Use AAP Policy

Constipation

Dental

Diarrhea

Dust Mite Allergy

How to protect your child from passive smoking

Iron-Deficiency Anemia

Viral Infection

Vomiting

Vaccine Information Statements (English)

DTaP

Hepatitis B

Hepatitis A

HIB

HPV (Gardasil)

Meningococcal ACWY

MMR

MMRV

Pneumococcal 13

Polio

Rotavirus

Serogroup Meningococcal B

Tdap

Varicella

Vaccine Information Statements (Spanish)

Multi (Las primeras vacunas de su bebe)

Dapt

Hepatitis B

Hib (Haemophilus influenzae tipo b)

Polio

Rotavirus

Neumococia

MMR (Sarampion, paperas y rubeola)

MMRV (Sarampion, paperas, rubeola y varicella)

Varicela

Hepatitis A

Tdap (Tetanos, difteria y tos ferina)

Meningocócica

VPH

Antimeningocócica del serogrupo B (MenB)

Vaccine Information Statements (Creole)

Les premiers vaccins de votre enfant (Multi)

Dapt

Vaksen Kont Epatit B (Hep B)

Vaksen Kont Epatit A (Hep A)

Vaksen Hib

Vaksen Rotaviris

Vaksen Nemokoksik Konjige (PCV13)

Vaksen Kont Polyo (IPV)

Vaksen kont Varisèl (Saranpyon)

Vaksen MMR (Lawoujòl, Malmouton ak Ribeyòl)

Vaksen MMRV (Lawoujòl, Malmouton, Ribeyòl, ak Varisèl)
Vaksen Tdap

Vaksen Kont HPV (Papiyomaviris Imèn)

Vaksen ACWY Kont Menengokòk

Vaksinasyon Kont Menengokòk Sewogwoup B (MenB)

Vaksen kont lagrip (inaktive osinon rekonbinan)

Our Location

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Hours of Operation

Our Regular Schedule

Occasionally closed for lunch from: Noon-2:00pm

Monday:

9:00 AM-7:00 PM

Tuesday:

9:00 AM-7:00 PM

Wednesday:

9:00 AM-7:00 PM

Thursday:

9:00 AM-7:00 PM

Friday:

9:00 AM-5:00 PM

Saturday:

8:00 AM-12:00 PM

Sunday:

Closed

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