Happy Healthy Safe



Printable Forms and Documents


Child registration – Demographic form for new patients less than 18 years of age

Health information – New patients need to fill this out, as well as the demographic form above

Parent registration – Parents wishing to get vaccines at our office need to complete this

Change of address

ADD/ADHD assessment – this is filled out by parents or the child at every ADD visit

Request to transfer records to us – for new patients, or patients who have been seen at another facility

Flu vaccine screening form – helps parents decide which flu vaccine is appropriate for a child



Ibuprofen and Acetaminophen dosing charts

Routine Visit and Immunization Schedule





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