What to bring?

• If you are not the biological parent, please bring a copy of the guardianship court papers.
• Insurance cards
• All prescription medications

New Patient Forms

• If you are a new patient, you will be asked to fill out several new patient forms for our office records.
• You can save some time by filling these forms out at home and bringing them with you during your first office visit.
• Please let us know if we can help answer any questions regarding the forms. We look forward to serving you!

HPA New Patient Packet 05 15
File Size:	1265 kb
File Type:	pdf

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Current Patient Forms

• If you are a current patient and have not visited our office within the past year, you will be asked to fill out the Update Patient Data form.
• You can save some time by filling these forms out at home and bringing them with you during your first office visit.
• Please let us know if we can help answer any questions regarding the forms. We look forward to serving you!​

Patient Data Sheet
File Size:	54 kb
File Type:	pdf

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Additional Forms -  Please download, print, and fill out if it pertains to your needs.

Patient Portal Consent
File Size:	29 kb
File Type:	pdf

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Parental Consent for Treatment
File Size:	7 kb
File Type:	pdf

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ADD New Evaluation Packet
File Size:	684 kb
File Type:	pdf

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Parental Consent for Minor Visit Form
File Size:	9 kb
File Type:	pdf

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Patient Portal Information
File Size:	61 kb
File Type:	pdf

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Failed No Show Policy
File Size:	41 kb
File Type:	pdf

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Failed No Show Policy (Spanish)
File Size:	57 kb
File Type:	pdf

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ADD & Autism Evaluation Cost & Insurance
File Size:	46 kb
File Type:	pdf

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Overview of Important Data
File Size:	72 kb
File Type:	pdf

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Parental consent for someone else to bring child
File Size:	32 kb
File Type:	pdf

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HIPPA Disclosure Form
File Size:	34 kb
File Type:	pdf

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Medical Record Release
File Size:	52 kb
File Type:	pdf

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Electronic Contact Permission
File Size:	39 kb
File Type:	pdf

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HPA Sports Participation form
File Size:	250 kb
File Type:	pdf

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HIPPA Authorization Form
File Size:	39 kb
File Type:	pdf

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HIPPA Privacy Statement
File Size:	88 kb
File Type:	pdf

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