HIPAA Forms (Required)

For patients or other providers (PLEASE READ):

1. Click the button below to open your requested pdf
2. Download them to your computer or tablet (or print)
3. Fill out each form digitally/sign your printed copy.

Note: You do not need to print off the forms. You can type your information into each form and save as a new pdf.

After filling out our forms, please email all completed forms to kids1peds2023@gmail.com. Do not send any messages to this email outside of the forms below: