Forms And Policies

Office Policies

Our full office polices are available in the forms linked below.

Please note if you have a commercial insurance for your child, we require a credit card to be placed on file with our office. We use your credit card to bill any amount of $25 or less that is due after your insurance is billed. For higher amounts we send you a statement and only charge your credit card if we do not get a payment from you by the due date.

General Office Forms

Patient registration packet (includes our financial and office policies)

Medical records release

Authorization for another person

Our privacy policies

Behavior Evaluation Forms

Initial behavior questions

NICHQ for parents

NICHQ for teachers

New Earring Care

New earring care instructions


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