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Upload/Email Your Forms

Forms are completed in the order in which they are received. Please allow 5 business days for the completion of most forms. Note that some medical forms are subject to a longer turnaround time. Parents should complete all of the demographic and patient history information and sign and date wherever applicable. Forms cannot be completed if the information is incomplete or the child has not had the necessary checkup or tests required.

You also will still need to pay your $10 Annual Admin fee before your forms will be processed. If you would like your form expedited there is still a $25 fee for this service. Please indicate with your form how you would like the form returned: Portal upload (fastest), in-office pickup, or mail.

Please Note: The easiest way to access your form, once completed, is through the Follow My Health patient portal. To have your completed form uploaded to the portal, please select ‘Upload’ in the ‘To Be Received By’ field on the next page. If you are not yet signed up, click here to submit an invitation request!

  • How to upload a child’s form: 

    Step 1: Fill out the Electronic Consent Form below. We cannot start processing your child’s form until this is completed. This form only needs to be completed once for each child, not once for each form. If you have already filled out this form for your child, proceed to step 2, click here.

    REQUEST FOR CONFIDENTIAL ELECTRONIC COMMUNICATIONS –
    ELECTRONIC CONSENT FORM

  • Your signature below will indicate that, should you email us forms, you agree to the above terms. This agreement shall remain in effect until terminated by parent/patient via written request.

    Acknowledgement and Agreements:

    I understand and agree that I have the option to electronically submit forms. If I choose to electronically submit forms, that method of communication is not secure, making my PHI at risk for receipt by unauthorized individuals. If I choose to electronically submit forms, I accept the risk and will not retaliate against the practice in any way should this occur.