Forms & Policies

Below are forms that need to be downloaded, printed, and signed. Signatures must be actual and not electronically generated. Note: Some of the following forms are in PDF format.

If you have problems with viewing them, please download Adobe Acrobat Reader.

New Patient Forms

Please print, fill out, sign, and bring to first visit (All Patients!)

(one for each child - not including newborns)
(to be completed if you are transferring into our practice).
(to be completed if you are transferring FROM our practice to another).

Nancy Sedlack — Parenting Expert

For parents meeting with Nancy Sedlack, please print and complete these forms BEFORE your first visit.

Required State Health Forms

(This form MUST be printed on BLUE paper!)

Assessment Tools for Parents

Exercise & Nutrition Assessment

(Fill out online and print)

ADD/ADHD

ADD/ADHD Information