Patient Information

Whether you and your child are new to our practice or you are familiar faces, knowing what to expect at appointments can help ease worried minds as well as facilitate a better experience at the doctor’s office.

New Patients

Your First Appointment

A few simple measures will help expedite your first appointment.

  • Arrive 20 minutes early — someone will review your paperwork with you
  • Bring important documents, including:
    • Insurance cards
    • Immunization records
    • New patient forms

Patient Forms

New Patient Forms: Please print, complete and sign these forms. Be sure to bring them along to your first appointment.

Medical Record Request Forms:

Virtual Visits:

Current Patients

What to bring to your child’s appointment

Parents and caregivers of all patients — whether new or current patients — are asked to please bring current insurance cards to each office visit.  Co-payments are expected at the time of the office visit.

For your convenience please complete, sign and bring any forms that are applicable to your current visit.

Age of Child or Type of Visit Form(s) Needed  
18 months to 2 years old: M-CHAT
11 years and older Annual Physical Exam: Patient Health Questionnaire (PHQ-9)
School Physical: School Physical Form
High School Sports Physical: High School Sports Physical – MSHSAA
Consult or Medication Check for ADHD:

Vanderbilt ADHD Diagnostic Teacher Rating Scale (must have teachers complete)

ADHD Self-Reporting Scale (ASRS – v1.1)

Consult or Medication Check for Anxiety/Depression: Patient Health Questionnaire (PHQ-9)        Generalized Anxiety Disorder


Member of Washington University Clinical Associates Learn More
COVID-19 Update: Urgent Need to Stop Community SpreadFind out more