To expedite your first appointment, please arrive a few minutes early to complete registration forms so that we have all the necessary information to treat your child. And please make sure you have your child's insurance card and parent/ guardian photo id.
New Patient Forms:
- Patient Information [ PDF ] [ Online ]
- Medicaid Insurance Verification [ PDF ] [ Online ]
- Updated Vaccination Policy [ PDF ] [ Online ]
- Release of Record [ PDF ] [ Online ]
- Ehx Consent [ PDF ] [ Online ]
- Crisp Consent / Email [ PDF ] [ Online ]
- Newborn Insurance Reminder [ PDF ] [ Online ]
- Preventative Visit - Patient Information [ PDF ] [ Online ]
- Flu Vaccine Consent - English [ PDF ] [ Online ]
- Flu Vaccine Consent - Spanish [ PDF ] [ Online ]
Helpful Website Links:
https://healow.com/apps/jsp/webview/signIn.jsp
