Forms
Forms
Below are commonly used forms by our Springtime Families
New Patient
- Registration Form
-
Initial History Questionnaire
-
Protected Information Privacy & Security (HIPPA)
- Acknowledgment of Receipt of HIPPA
- Consent Form and Financial Waiver - unfortunately, insurers don't always keep pace with AAP guidelines, but we believe strongly in these recommended screenings
-
Financial Policy
- Vaccine Policy
- Transfer Form - use this to obtain permission to have your medical records sent to us.