For your convenience the below documents are available to download and print or for your review. This will allow you to fill out your forms prior to your first appointment. Please remember to bring them with you on the day of your visit. Thank you!

Medical Records Release Form

Attestation on Reproductive Health Care

Request for Restriction of PHI

Request for Correction or Addendum for PHI

Request For Account of Disclosure 

New Patients - Newborns

New Patients - 4 Years and Under

New Patients - 5 Years +

STEP Pediatrics Consent Form

Notice of Privacy Practices - English (PDF)

Notice of Privacy Practices - Spanish (PDF)