Doctors at work
As of January 2021, all of our intake forms have been converted to an electronic platform that we share when you become a new patient. The following forms are for patients who do not use computers, or are unable to access the digital format. Please inquire with staff before using these.
Pediatric Intake Form–Birth to 5 years old
Pediatric Intake Form–6 to 12 Years old
NOTE: Please send all intake forms by either US postal service, fax, scan, or an emailed PDF. If you are taking a photo of intake form, convert the photo to a legible PDF file before sending for best results.
If you are local, don’t hesitate to drop it by the office.