Is Your Child Sick?TM

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Forms & Policies

If you are a new patient with us, we would appreciate it if you would download and complete the Patient Registration Form, Family History Forms, Late-No Show Form and the HIPAA Form and bring them with you to your first visit. Thank you!
Certificate of Immunization
Refer to Skipping the Screen Time for additional information
Refer to Media Guidance for additional information
Our new vaccine policy as of January 1, 2016
Please fill out the New Patient Registration form here
Please fill out the Patient History Form here
Self Report for Child Anxiety Related Disorders
Screen for Child Anxiety Related Disorders