Policies And Forms

Registration Forms (For New Patients and Well Visit Appointments)

Hipaa and financial Policy  / Spanish Hipaa (Updated once a year)

Notice of Privacy

Financial Policy

Patient Information

Flu Clinic Consent Form - English

Flu Clinic Consent Form - Spanish


Well Visit Questionnaires and Forms


Miscellaneous Forms

Physical Form / Spanish (Required for kindergarten, 6th grade, and 9th grade and upon entering a new school or daycare)

Sports Physical Forms (If requested by school upon joining a sports team)

Vanderbilt Assessment Scale - Parent and Teacher Forms (Need at least two parent and two teacher forms required for ADD/ADHD initial evaluation appointments)

Medical Records Release (From our office)

Medical Records Release (To our office)

Healow Application and Televisit Guide

Healow (Workflow)

Contact Us

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Office Hours

*Office is closed between 1-2 PM for lunch.*

Monday  

8:00 am - 5:40 pm

Tuesday  

8:00 am - 5:40 pm

Wednesday  

8:00 am - 5:40 pm

Thursday  

8:00 am - 5:40 pm

Friday  

8:00 am - 5:40 pm

Saturday  

8:00 am - 12:40 pm

Sunday  

Closed