Forms and Resources

New Patient Forms – Welcome to the Practice!

Please print out these forms at home, complete them, and bring them with you to save time for your child’s first visit.

Family Information Form (English)

Información Familiar (Español)

Infancy, Childhood, Adolescence History (Bilingual):  Page 1  |  Page 2

Medical Treatment Consent (English)

Consentimiento Del Tratamiento Medico (Espanol)

Authorization to Allow Access to Protected Information (English)

Authorizacion Para Permitir El Acceso De La Informacion Protegida (Espanol)

Insurance Information

Informacion Del Seguro Medico


Resources

Some books we recommend as resources:

Caring for Your Baby and Young Child: Birth to Age 5 by The American Academy of Pediatrics

Caring for Your School-Age Child  by The American Academy of Pediatrics

Caring for Your Adolescent   by The American Academy of Pediatrics

Parents and Toddlers by T. Berry Brazelton, M.D.

Baby and Child Care by Benjamin Spock, M.D.

How to Parent by Dr Fitzhugh Dobson

Childhood Illness by Jack G. Shiller, M.D.

Some helpful websites:

www.AAP.org

www.HealthyChildren.org

www.childrenshealthnetwork.org

www.KidsHealth.org

www.CDC.gov

www.WebMD.com