Prepare Before Your Visit
Access Forms Online
Welcome to our Patient Forms
Here, you’ll find all the necessary documents to complete before your appointment. Please review, fill out, and submit the forms to help us serve you better.
Looking for parent forms? Click here
Fill Out Online (Recommended)
Complete your forms quickly and securely online before your visit. Simply fill out the required fields and submit directly through our patient portal for your convenience.
Fill Out by Hand
Prefer to fill out your forms by hand? Download and print the documents, then bring the completed forms with you to your appointment.
AQ-10 (Adolescent Version)
Autism Spectrum Quotient (AQ)
AQ-10 (Child Version)
Autism Spectrum Quotient (AQ)
Athletic Health Examination and Consent Form
Pre-participation examination form (athletic)
Autism Spectrum Screening Questionnaire (ASSQ)
Constipation and Home bowel program
Fever Reducer Chart
Medical Consent Form
NICHQ Vanderbilt Assessment Scale
Used for diagnosing ADHD
NICHQ Vanderbilt Assessment Scale
Parent – Used for Diagnosing ADHD
NICHQ Vanderbilt Assessment Scale
Teacher – Used for Diagnosing ADHD
Patient Complaint Form
Pediatric Vaccinations Infographic
Record Release Form
Screen for Child Anxiety Related Disorders (SCARED)
CHILD Version (to be filled out by the CHILD)
Screen for Child Anxiety Related Disorders (SCARED)
PARENT Version (to be filled out by the PARENT)
Sensory Processing Checklist
Sun Safety Information
The Childhood Autism Spectrum Test (CAST)
(Formerly known as the Childhood Asperger Syndrome Test)