top of page

Forms for well check ups, ADHD/ADD visits, asthma visits and sports physicals 

Please use the forms based on the age your child will be on the day of the visit.  New Patients may need to complete additional paperwork prior to being seen, so please arrive 10-15 min prior to appointment time.  As always, paper forms are available when you arrive for your child's appointment.  Please arrive 10-15 minutes early and let the front office staff know.  They will be happy to get the forms for you.

Infant

0-9 mo.

IMG_7980_edited_edited.png

ADHD 

Early Childhood

1 - 4 yrs

IMG_7983_edited_edited.png

Asthma
under 12y

Middle Childhood

5 -10yrs.

IMG_7981_edited.png

Asthma 12yrs +

IMG_7976_edited_edited_edited.png

GA Sports Physical
Please complete the student's portion of the form and a cardiac assessment prior to visit. 
 

IMG_7975_edited_edited.png

Alabama Sports Physical
Please complete the student's portion of the form and a cardiac assessment prior to visit.(Dr. Lisa only)

Adolescence

11 - 21 yrs.

IMG_8103_edited.png

Photo Release

IMG_7984_edited.png

Cardiac Assessment
Please complete if you need a sports, camp, or college weekend physical.

Birth

2 Months

4 Months

6 Months

1 Year

18 Months

Yearly

4 Years

11 Years

16 Years

18 Years

  • Tdap (if it has been 5 years, then every 5 years.

bottom of page