Patient Forms

Any of the forms listed below can be printed out and your portion completed prior to the office visit. If you bring in completed or partially completed forms, please give them to the receptionist as you are checking in for your appointment If you have questions about how to complete a form or what form you need, please call 856-4440 and press 8 to speak to a Medical Assistant.

Medical History and Information:

ADHD Assessment:

Asthma Evaluation:

School Forms:

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In Case of Emergency

In a true medical emergency, please call 911. During office hours, please call our main number 205-856-4440. After office hours, please call our answering service at 205-930-4322. One of our providers is always on call to care for your child.


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Statement of Nondiscrimination   Section 504 Accessibility   Sensory Impairment Policy

Office Hours

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed