Patient Forms

New Patient Forms
The following documents should be filled and must be presented before your first visit.

Please bring the following to your first visit:

  • Your Child’s Immunization Records
  • Insurance Card
  • Caregiver’s Driver License

Well Child Visit Forms by Age:


ADHD/Mental Health Initial Evaluation

Spanish Forms

If you have concerns that your child might be autistic, please also visit Fill out the ASD Assessment Scale/ Screening Questionnaire, score it, print it out (2 pages) and bring it to your initial visit.

ADHD/Mental Health Follow Up

Premier Pediatrics Policy for ADHD management


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