These forms are available for you to print, fill out and bring to your child's appointment. It is much easier to fill them out at home and will save you time in the office.

Patient Registration-be sure to bring a copy of your current insurance card and picture identification.

Behavioral Assessment/Parent - this form is provided for a parent to complete prior to a behavioral consult with the provider. Be sure to print the "teacher" form to take to your child's teacher.

Behavioral Assessment/Teacher - this form is for your child's teacher to complete prior to the behavioral consult with the provider.

Records Release - you can print and fax these forms to our office to have your child/rens records sent to another provider etc. Page 2