If possible, please complete Patient Forms before visiting using the link below.  

You need to fill out a patient history for every patient, but only one registration and credit card authorization per family (just leave the first two pages blank for each additional patient)

The form is best completed on a computer. If you are unable to fill it out you can still complete a paper version at the office. If you are missing some info (such as if you don’t have a work phone) that’s OK, just click “Done” in the top right corner after you are finished filling all other info.

After filling out and submitting the form, please email a picture of the front and back of your insurance card(s) to [email protected] with the patients name as the subject line, let us know the reason for the Covid testing and indicated some preferred dates & times. One of our staff will get back to you within 24 hours to confirm the exact date and time. 

LINK: https://pdf.ac/pbwBR.

Most importantly, when you visit please remember to bring your insurance card, credit card, and ID.

If the PDF Filler link does not work for you, you can also print out and complete the forms using the attached PDF documents. Most of these forms are in Adobe Reader (PDF) format. If you can not view them on your computer, you may need to install Adobe Reader or an equivalent PDF reader programon your computer. To obtain Adobe Reader, follow this link.

Downloadable Form
This form should only be downloaded and printed out if you are unable to use the PDF filler link above. Once printed out, please fill it out and bring it with you on your visit.

Patient Registration

Physical Examination Forms
Forms for sports physicals are lengthy and time consuming.  Those are best to complete ahead of time to ensure they are complete. These forms are reviewed before we give your child a physical examination. If you have not previously registered with us, the registration form listed above is also required. This is a lengthy time consuming form and it is best to complete this ahead of time.

Physical Examination Form

Physical Examination Flyer

Other Forms
These forms are required for various individual situations.

Request for Release of Medical Records

Consent to Treat a Minor

Photo Consent Form

Patient History Form

Patient Registration Form