Turnaround time for forms is 3 business days (Mon-Fri). If you have multiple children, please fill out a separate form for each child.
If your child’s form requires ONLY their immunization history, this digital forms workflow is not for you. Instead, please fill out this Authorization to Release Immunization Records form so that we can send you a copy of your child’s Certificate of Immunization Status (CIS). CIS reports do not include a provider signature but are a verified record of their immunization history and are accepted by all schools and camps. If you are submitting a school sports form or a camp form that includes your child’s immunization history, you do not need to complete a separate Authorization to Release Immunization Records form.
An in clinic Well Child Check-up is required every 1-2 years in order for our providers to ensure your child is in physically fit to participate in activities. Please schedule an appointment with your child’s Primary Care Provider (PCP). Don’t forget to bring any forms to the appointment.
Any extended paperwork (FMLA, adoption, etc.) requires a visit with one of our providers. Follow the link below to schedule an appointment. Virtual Visits work well for these types of appointments. Don't forget to bring any forms to your appointment.
Please sign into your child’s Patient Portal account to view the date of their last Well Child Check-up. If you do not have a Patient Portal account, please click this link to register.
You will receive the completed form(s) securely via the email you provide within 3 business days, Monday - Friday (excluding holidays). If you need a form completed faster than our normal processing time, a rush fee of $20 per form will be charged for delivery within 1 business day, Monday - Friday (excluding holidays).
Please click one of the PayPal options to complete payment and submit the form.