Additional Forms
Below you will find additional forms that we use in our clinic. Feel free to download and fill out these forms at home to ease your first visit:
| Form | |
|---|---|
| CCM Immunization Confirmation Letter | Download |
| School Immunization Questionaire Download | Download |
| Treatment Consent Form | Download |
| Acknowledgement of Review of Notice of Privacy Practices | Download |
| AMA-against medical advice | Download |
| Medical Record Authorization Form | Download |
| Health History Form | Download |
| WA Immunization Exemption Certificate | Download |
| Insurance and Payment Authorization | Download |
| Patient Heath History Form | Download |
| Pre-Participation Physical Evaluation | Download |
| Medical Release Form | Download |
| Patient HIPAA Notice | Download |
| Denver II Developmental | Download |
These forms are in PDF format which requires Adobe Acrobat Reader. Click 
to download the free plug-in.
