Forms

If you are a new patient, please fill out our new patient form online.

• Medical Records
• Transfering Practices

If you are transferring OUT of PAGS, click the link below to access the form

• Authorization to Receive and/or Release Medical Information

If you are transferring INTO PAGS, click the  link below to access the form.

• New Patient ROI Form

Before your appointment with us, quickly and conveniently access patient forms from our practice by clicking on the links below.

• MCHAT
• SCARED Anxiety Screen (parents to complete)
• Edinburgh Postnatal Depression Scale
• GAD-7
• SCARED Anxiety Screen (child to complete)
• PSC-17
• PHQ-9 (Modified for Teens)
• PHQ-9 (Adult)

• ADHD Parent Follow-Up Form
• ADHD Parent Initial Form
• ADHD Teacher Follow-Up Form
• ADHD Teacher Initial Form
• Behavioral Health Intake Form
• Behavioral Health Intake Form (Spanish)

Download the packet for our Band- Aid coloring contest!