ALL FORMS​
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• ADHD – Parent Form
• ADHD – Teacher Form

• Authorization For Use and Disclosure of PHI To Personal Representatives – Patient under 18 Years of Age
• Authorization For Use and Disclosure of PHI To Personal Representatives – Patient 18 Years of Age or Older

• Employment Application

• Failure to Keep Appointment Policy
• Medical Consent Form for Treatment of Minor

• Medical Consent Form for Treatment of Unaccompanied Minor

• Medical Records Release FROM our Clinic

• Medical Records Release TO our Clinic

• Notice of Privacy Practices (NPP)

• Patient Medical History

• Patient Registration

• Privacy Practices Acknowledgment & Patient Consent for Use and Disclosure of Protected Health Information

• Sports Physical History Form

• Vaccine Consent Form