Forms to Download and Print
Most of these forms are in Adobe Reader (PDF) format. In order to open them you will need to have Adobe Reader or an equivalent PDF reader program installed on your computer. To obtain Adobe Reader, follow this link.
Registration Form
This registration form needs to be completed before your child is examined. This form is also available at the time of check-in.Patient Registration Form
Physical Examination Forms
These forms are required before we give your child a physical examination that is required before they join an athletic team, attend summer camp, etc. If you have not previously registered with us, the registration form listed above are also required.Physical Examination Form
Physical Exam Insurance Notification
and Waiver
2013 Physical Exam Flyer
This is not a required form, but provides general information about our physical exams.
Other Forms
These forms are required for various individual situations.Request for Release of Medical Records
Consent to Treat a Minor
Photo Consent Form
We're open - 365 days per year.
No appointment needed. Please drop in with your child. We are here for you.
We welcome out-of-town visitors.
Hours:
Monday-Friday 5pm to 10pm
Saturday 10am
to 10pm
Sunday 10am to 10pm
Holidays, including Memorial Day Week-end* 10am
to 10pm