Patient forms

We are happy to provide our office forms for convenient download on your home computer. Questions about which forms you might need? Please call our office and our courteous staff will assist you in preparing for your child's visit.


New Patient Registration
HIPAA Notice
APA Financial Policy
APA General Immunization Schedule
Portal Registration Form
Portal Registration Form for Patients Over 18 Years
APA Policy for Divorced and Separated Parents
New Insurance Information  
Medical Consent Form
Release of Protected Health Information Form  
Consent for Release of Medical Information for Patients over 18 yrs. of age
Authorization for Release of Medical Information for Patients over 18 yrs. of age

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

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