Here are some useful forms you can download and fill out prior to your child's appointment. This will save time and allow you to fully interact with your child and the pediatrician while you are at the doctor's office. All forms are available in PDF format. Need a PDF reader? Get the free Adobe PDF Reader by clicking below.
General Forms
Patient Registration Form
HIPAA
Release Records From Another Clinic To Children's Clinic
Medical Authorization Form
Attention Deficit Hyperactivity Disorder Behavior Checklist forms:
NICHQ Vanderbilt Assessment Scale-Teacher Informant
NICHQ Vanderbilt Assessment Scale-Parent Informant
Vanderbilt Assessment Follow up Scale-Teacher Informant
Vanderbilt Assessment Follow up Scale-Parent Informant
Helpful School Forms:
Edmonds School District
Athletic Forms (grades 7-12th)
Medication Forms
Everett School District
Athletic Forms
Mukilteo School District
Athletic Forms (grades 7-12th)
Medication Forms
Northshore School District
Athletic Forms
Medication Forms
Shoreline School District
Athletic Forms