Patient Information Form Record Release Form HIPAA Office and Financial Policies PCMH Agreement Vaccine Statement Policy SMS Terms and Conditions SMS Privacy Policy

Edinburgh Postnatal Depression Scale MCHAT SCARED Anxiety Screen (child to complete) SCARED Anxiety Screen (parents to complete) GAD-7 PSC-17 PHQ-9 (Modified for Teens)

Behavioral Health Forms

ADHD Parent Follow-Up Form ADHD Parent Initial Form ADHD Teacher Follow-Up Form ADHD Teacher Initial Form ADHD Medication Guidelines

Health Appraisal Up to Age 9 Asthma Control Test Ages 4-11 Years Asthma Control Test 12 Years and Older MHSAA Health Appraisal

SG Pediatrics of Lake Orion

We are happy to provide our office forms for convenient download on your home computer. Please print and complete the forms below, and bring them with you to your child's first appointment.

Questions about which forms you need? Please call our office and our courteous staff will assist you in preparing for your child's first visit.

If you elect not to fill out these forms ahead of time, please arrive 15 minutes prior to your scheduled time.

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Forms

Printable Office Forms

New Patient Forms

Well Check Forms

Behavioral Health Forms

Miscellaneous Forms