In order to better serve you quickly and effectively the day of your child’s appointment, please print and fill out the required forms. If you have any questions about what forms are required, our office staff would be delighted to assist you.
Patient Demographic Update
Please fill out if you have a change of address or contact information. Download here.
New Patient Paperwork
Please fill out if you are not an existing patient. Download here.
Consent For Telehealth Services
Please fill out and give to receptionist. Download here.
Non-Guardian Permission Authorization Update
Medical Release Form
Medical Records Fee Form
Print Media Release
Please fill out if you would like Children’s International Medical Group to sponsor an organization or event. Download Here.
Controlled Substance Treatment Agreement
Please fill out if you consent to allowing your child to be given controlled substances. Download here.