New Patients
Please print the following forms, fill them out and bring them with you to your first appointment.
- Authorization to Seek Medical Treatment
- Family History
- Personal History
- Parent/Patient Information
- HIPPA Policy Acknowledgment signature page.
Please read our HIPPA Policy before signing the acknowledgment page.
NEW ADD/ADHD patients
- ADD/ADHD Parent Rating Form, page 1 and 2
- ADD/ADHD Teacher Rating Form, page 1 and 2
Returning ADD/ADHD patients for follow-up visits
- ADD/ADHD Assessment Follow-up Form
Please have the teacher(s) fill this out prior to the follow-up visit
ADD Assessment Follow-up Page 2
ADD Teacher Rating Form Page 2
Authorization to Seek Medical Treatment
Spanish/Solicitud de Libertad de Registros Medicos
Spanish/Informacion de los padres