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

30 Month (2.5 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

Dust Mite Allergy

How to protect your child from passive smoking

Iron-Deficiency Anemia

Viral Infection

Vaccine Information Statements (English)

Meningococcal ACWY

Pneumococcal 13

Serogroup Meningococcal B

Vaccine Information Statements (Spanish)

Multi (Las primeras vacunas de su bebe)

Hib (Haemophilus influenzae tipo b)

MMR (Sarampion, paperas y rubeola)

MMRV (Sarampion, paperas, rubeola y varicella)

Tdap (Tetanos, difteria y tos ferina)

Antimeningocócica del serogrupo B (MenB)

Vaccine Information Statements (Creole)

Les premiers vaccins de votre enfant (Multi)

Vaksen Kont Epatit B (Hep B)

Vaksen Kont Epatit A (Hep A)

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)

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Closed for lunch from: Noon-1:30pm

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Tuesday:

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Wednesday:

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Thursday:

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Friday:

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Saturday:

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Sunday:

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Featured Articles

Featured Articles

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