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Forms & Policies

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Patient Forms

Patient Registration Online Secure Form

VFC Eligibility Form

Patient Registration Form
Medical Records Release Form (Incoming)
Medical Records Release Forms (Outgoing)
Consent to Communicate with School
Registration Form for Covid 19 Vaccine
Pre-Vaccination Checklist
VFC Eligibility Screening Form

Office Policies

Making an Appointment Policy (PDF)
Financial Policy (PDF)
Kids Notice of Privacy Policy (PDF)

Telemedicine

Introducing Doxy.Me (PDF)

Telehealth Online Form

Portal Access My Kid's Chart

Patient Portal