Patient Registration form

Anual Fee Agreement PDF

Financial Agreement

Medical Records Request Authorization

If you've completed the Patient Registration Form within the last 6 months and need to add a sibling, update your address, or preferred contact methods, please complete these forms as needed:

Preferred Contact Methods

Address Change

https://forms.office.com/r/0DcN6JNVaN

Edinburgh Postnatal Depression Scale

GAD-7

MCHAT

M-CHAT-R_F

PHQ-9 (Adult)

PHQ-9 (Modified for Teens)

PSC-17

SCARED Anxiety Screen (child to complete)

SCARED Anxiety Screen (parents to complete)

Spanish-M-CHAT-R-FUI

Over 18 Consent Form

Unaccompanied Minor (Patients 16 - 18 years old)

Permission to Treat Without Guardian Present (Children under 16 years old)

Medical Record Release Authorization Form

ADHD Parent Initial Form

ADHD Parent Follow-Up Form

ADHD Teacher Initial Form

ADHD Teacher Follow-Up Form