Patient Forms

Patient Registration Forms

Release of Information Forms

  • Medical Records Release Form- Patient Authorization for Use and Disclosure of Protected Health Information Form [PDF] [Secured Online Form]
    • Print and complete this form if you are transferring your medical records. Please mail it or drop it off at our office. We will make every effort to copy and send out your records within 10 business days, usually at no charge.
  • Treatment of a Child in the Absence of a Parent or Legal Guardian - follow link to read our office policy. Choose option below to complete consent form.

Patient Screening Tools

Contact Us

Non-Medical Inquiries Only. If you have an ill child, please contact the office directly by phone.

Location & Hours

Our Location

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Hours of Operation

Our Regular Schedule

Our Pediatric Office


8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-5:00 pm


08:00 am - 12:00 pm - Only same-day, urgent, sick visits by appointment.*