E-Forms

Click on the desired form(s) below to complete your child’s “paperwork” in a quick and secure (HIPAA-compliant) manner:

COVID Vaccine Sign-up—NOT CURRENTLY giving COVID Vaccines

COVID Vaccine Consent ***fill out on day of shot***

Flu Vaccine Forms

Men B or HPV vaccines

Lead & TB Questionnaire

Insurance Change Form

***New Patient Registration

Records Release – Incoming

Records Release – Outgoing