Little Girl

Download our Patient Information Form here. Please fill this form out and bring it with you to your child’s first appointment. We will need a separate form for each child we will be seeing.

Please Note: A parent or legal guardian must sign the consent on the Patient Information Form. Grandparents and step-parents cannot legally give consent** for treatment unless they are also the legal guardian, and have the proper paperwork to demonstrate that status. Therefore, a parent or legal guardian must accompany the child on their first visit unless the Patient Information Form is filled out and signed ahead of time, and sent with the responsible adult bringing the child to the office.

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