TeleHealth Forms

Upload Completed Forms

You may securely upload your completed forms here, entering the patient’s first and last name when prompted.

TeleHealth Forms

Please complete the appropriate form for your scheduled appointment. A staff member will call you before your scheduled telehealth appointment to go over visit information and will instruct you on which form(s) to complete for your appointment.

Well Child Appointments 

Other Forms

Completing and Saving Instructions 

Adobe Reader is available for free for your phone and desktop. An account is required for mobile devices. If not already installed, you can install it here: http://get.adobe.com/reader 

Once you have downloaded and installed Adobe Reader, please download and open the appropriate form for your appointment with Adobe Reader. Once you have filled out the form, please save it somewhere easy to remember. You may then securely upload your completed forms here, entering the patient’s first and last name when prompted.