Office Forms

Attatch Form

Behavioral Forms

AD(H)D

In order to schedule your child’s first AD(H)D appointment, please fill out the initial packet.

In case you need additional sheets, please refer to the items below:

Anxiety: SCARED form (PDF only)

Depression: CES-DC Bright Futures form (PDF only)

Attatch Form

Immunization Record, School/Sports/Daycare Forms

Immunization records: please pick-up copy during business hours or request copy to be mailed to address on file.

School health assessments: if your child is current on wellness checks, you may request a copy. You can choose to pick it up or have it mailed to address on file.

Sports Physicals (PDF with medical part ONLY – parent/patient MUST complete first page) should be done after May 1st per KSHSAA regulations. If your child’s appointment was after that date, you can send the first page of the medical form filled out and we will complete the medical information as of the date of the physical.  Allow two business days after submitting the document.

Request Document