Please click the form you wish to download.  To view these forms you will need to have Adobe Reader.  You can download Adobe Reader HERE.

• Patient Questionnaire and Consent for Treatment
• Medical History
• Notice of Privacy Practices Acknowledgement

Have you signed up for eClinicalWorks?

If you would like to communicate with your child doctor’s office via secure e-mail, please let us know, so we can sign you up for health eClinicalWorks .There is no fee for this service

With health eClinicalWorks, you can access a wealth of general health information online, view new massages from our office, and take advantage of the benefits:

*Request a non-urgent appointment or confirm an appointment. For all urgent issues, we ask that you call our office, as these massages are only checked during office hours.

*Request medication refill.

*Ask a quick, question, non-urgent question you may have.

*Have forms, form our office such as lab slips and radiology orders, e-mailed to you.

*No critical health information is sent via e-mail. When a message is sent from the doctor’s office, you receive an e-mail stating you have a new massage from doctor’s office, and are directed to log in to health eClinicalWorks to review.