Below you will find copies of all forms that we have/supply in office!

If you need help locating a specific form please contact the office (401)847-2290

Medical Record Release
No Show Policy
Welcome Letter
Medical History Form
Patient Registration
Financial Policy
Vaccination Agreement
No Show Policy (Spanish)
HIPAA Form

ADHD Forms

NICHQ Vanderbilt Scale

Making the diagnosis of ADHD requires symptoms in more than one environment. If you have concerns about ADHD in your child, please call to discuss with your child’s doctor. Your doctor will likely give you these forms to have family and teachers fill out. Feel free to give these forms to teachers before the appointment, and return with forms filled out for review at the appointment. Your doctor will use the information on these forms to determine whether or not your child may have ADHD.

Parent Initial Form
Parent Follow Up Form
Teacher Follow Up Form
Teacher Initial Form