Patient Information Welcome Letter Welcome Letter for new Patients New Patient Medical History To be completed by each patient PRIOR to Initial Evaluation Financial Policy Insurance and Self Pay details Patient Follow-up To be completed by established patients before each Follow-Up Visit. Policies and Procedures Please review/print for your records. Contains a broad overview about Office Hours, Messages, Scheduling/Cancelling Appointments, Prescription Refills, Insurance and Fees, Confidentiality, and Record Keeping. Credit Card Authorization Consent for Telemedicine Visits/COVID-19 This is the release for established parents to complete to give consent to participate in Telemedicine video appointments Request to Obtain/Release Records Release of Information Consent form HIPAA Notice of Privacy and Security Practices 2 HIPAA Notice of Privacy and Security Practices updated 10/12/2026