Download forms to prepare for your child’s visit
To help make your visit as smooth as possible, we provide commonly used patient forms and questionnaires that can be completed before your appointment. Completing forms in advance may help reduce wait time and allow us to focus more on your child’s care.
If you have any questions about which forms to complete, please contact our office.
Acetaminophen & Ibuprofen Dosing Chart
Guidance on safe dosing of common fever and pain medications based on your child’s weight and age.
Self-pay fees are based on the type of visit or service provided. Our staff can discuss expected charges and payment options before your appointment whenever possible.
These forms are commonly required for school, childcare, and sports participation.
• Physical Form
General physical examination form for school or childcare.
• School Medication Form
Required when medication must be administered during school hours.
• Sports Physical Form
Required for participation in school or organized sports activities.
The Ages & Stages Questionnaires® (ASQ®-3) help screen developmental progress in young children. Please complete the form that matches your child’s age before your visit, if requested.
• ASQ®-3 – 2 Months
• ASQ®-3 – 4 Months
• ASQ®-3 – 6 Months
• ASQ®-3 – 9 Months
• ASQ®-3 – 12 Months
• ASQ®-3 – 16 Months
• ASQ®-3 – 18 Months
• ASQ®-3 – 24 Months
• ASQ®-3 – 36 Months
• ASQ®-3 – 48 Months
If you have questions about any form or need assistance completing paperwork, our staff is happy to help.
