Dear Parents/Guardians,

We want to make sure all of our families are taken care of before the school year starts. Beat the “Back to School Rush” and ensure that your child has all the necessary forms and physicals completed before the first day of school. 

4-5 years old: Preschool and Kindergarten 

For parents with children going into Preschool or Kindergarten for the first time, your child will be required to have the necessary medical forms completed to enroll in Preschool or Kindergarten.

 

6-15 years old: Back to school physicals, sports physicals, and more

We know school is out for the summer, but it's never too early to get organized for the 2022-23 school year! Whether it's required forms for school or sports physicals, we encourage you to act now! 

 

11-12 years old: Required school forms and physicals for 7th grade

Your child will be required to have the necessary medical forms completed to enroll in the 7th Grade. Make sure to get ahead and complete those forms and physicals before it’s too late.

 

Beat the “Back to School Rush” in our offices by scheduling a well visit appointment today! You can schedule your child’s appointment calling the office at 818-713-9377.

 

To expedite your first appointment, please print and complete the registration forms below or call our office to have a copy of the forms sent to you via email or US mail.  When your forms are complete, please return them to us via drop off, email, mail or fax.  

Registration forms must be completed and sent to the office prior to scheduling your first appointment. 

            

   patient-questionnaire-2022.pdf
   medical-records-release-form.pdf

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