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Forms
Printable Office Forms
Prior to your appointment, the forms listed below can be printed for your convenience. Filling them out beforehand will save you time by not having to complete them during your appointment. If you elect not to fill out these forms ahead of time, please arrive 15 minutes prior to your scheduled time. (You may download Adobe Reader for free at www.adobe.com.)
Behavioral Health Forms
Well Check Forms
School Entrance Form
School Entrance FormAttached please find the standard school entrance form. This form is for children entering Kindergarten, children starting school after being homeschooled, most daycares, and most preschools. This form has a page for the family to complete. The second page is the physical exam documentation. The last two pages are for immunization documentation.
Sports Form (VHSL Form)
Sports Physical FormThis form is for middle and high school athletes.
Registration Forms
Registration FormsPlease find the new patient Registration Form, Medical History Form, Financial Policies Form, and HIPAA Privacy Consent Form attached.
Authorization to Release Medical Records
Medical Release FormPlease find the Authorization to release medical records.