Please allow 48 hours for medical forms (for school, camp or sports) to be completed. Forms must be dropped off at the front desk during normal business hours or faxed anytime. Your portion of the form should be filled out completely, including your child’s name and date of birth. If the form requires a doctor’s signature, the child must have had a physical within the last year or it cannot be signed. Please remember to schedule your child’s physical yearly.


1.  Forms must be completely filled in by parent, including exact name of medications on the bottle and form, ie:  pill, liquid, and dosage

2. Two forms per well visit will be accepted, if there are any more to be completed at that time there will be a $10 fee per form.

3. Dropping forms off will take 7 business days to be finished, at no cost.  Forms that needs to expedited sooner than 7 days will have a $10 fee per form.

4. If child is seen by specialist, please have the specialist sign the forms.