New Patient Registration Form

• New Patient Registartion Form
• Authorization to Release Medical Records Form
• Initial History Questionnaire
• HIPAA Form

Behavioural Forms

ADHD

• Initial Teacher Vanderbilt Assessment
• Initial Parent Vanderbilt Assessment
• Initial Parent Vanderbilt Assessment-Spanish

Follow-up ADHD

• Follow-up Teacher Vanderbilt Assessment
• Follow-up Parent Vanderbilt Assessment
• Follow-Up Parent Vanderbilt Assessment-Spanish

Developmental Forms

Modified Checklist for Autism in Toddlers (M-CHAT)

• M-CHAT- English
• M-CHAT- Spanish

Our Patient Portal provides parents convenient access to important information and services from the comfort and privacy of your home or office. Using our secure portal, you will be able to:

• View your Personal Health Records
• Request appointments and view details about upcoming appointments
• Request a prescription refill from pre-populated list of refillable prescriptions
• Manage your personal information

Please contact our office for your username and password.

• Patient Portal