Please bring these items to every visit:
- Insurance card
- Immunization record
- School forms for medications, diet restrictions, allergies, asthma action plan, or sports form

Fill out this Patient registration packet for any first time visit in 2024 or 2025 even if you have been here before. We are updating all information for our new charting system.

Haga clic aquí para obtener la versión en español del paquete de registro si visita por primera vez en 2024 o 2025, incluso si ya ha estado aquí antes.

Click to review the Privacy Act here.

Please print and fill out this Developmental Screening form during your child’s Well Child visit if your child is age 6 month through 3 year old. Choose the correct age of your child. You may also email it back to the office (please call the office for the email address).

6 months old

7-8 months old

9 months old

10 months old

12 months old (1 year old)

14 months old

16 months old

18 months old

20 months old

22 months old

24 months old (2 years old)

27 months old

30 months old

33 months old

36 months old (3 years old)