1- All form MUST BE PRE-FILLED with the ALL information requested from the parents and patients. This includes the name, address, current phone number, medical conditions, allergies, etc. Some forms are more extensive than others. Please take your time reviewing them before dropping them off. The form will not be filled if all the information is not present.
2- Forms brought to the visit will be filled at no charge.
3- Forms dropped at any other time will incur in a charge of $10.00. Please attach a self-addressed and stamped envelope if you need us to mail it back to you.
4- Please note that some sport physical exams may require an exam after June 1st of the current school year. In these cases, call the office for appointment if needed.
5- To fill a physical exam form, patient must have a full well visit over the previous 12 months. For sports physical, we may require a shorter duration from the previous physical exam.
Financial Agreement Policy.pdf
Notice of Privacy Practices.pdf
Form Medical Information Release.pdf
Patient Registration Form Spanish.pdf
Patient Registration Form English.pdf
Well Visit History 1 to 5 years old.pdf
Well Visit History 6 years and older.pdf
Sports Pre-Participaion Questionaire - Spanish.pdf
Sports Pre-Participaion Questionaire.pdf
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