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To get started, please download your forms

At Trestlewood Pediatrics, we understand that your time is valuable, and your child?s care is of the utmost importance. This is why we ask that you have these forms completed before your visit. If you run into any issues or have a question that you don?t know how to answer, please don?t hesitate to contact our offices. To begin, please click on the form you need, print, fill out, and return the form(s) to our office.

Background patient forms

Privacy Act

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Demographic Form

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History Form

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Current patient forms

Release to Transfer Out

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Patient Centered Medical Home

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Immunization Contract Form

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Flu Questionnaire Form

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Behavioral forms

M-CHAT Checklist for Autism in Toddlers

Download

PHQ-9 Modified for Teens

Download

GAD-7 Questionnaire Form

Download

SCARED Child Form

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SCARED Parent Form

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NICHQ Vanderbilt Assessment Scales

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Adult ADHD Self-report Scale

Download

Physical forms

Sports Physical Form

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Health Appraisal Form

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