Forms
New Patient Forms
Advocare Children's Medical Associates forms are listed below and can be printed for your convenience.
The Patient Registration Form and the HIPAA Acknowledgement Form may be completed in advance and brought to the office during your first visit. This will save you time by not having to complete these forms while in the office.
- New Patient Welcome Letter
- Advocare Practice Philosophy
- Patient Registration Form
- Advocare Payment Policy
- Guide To Understanding Your Advocare Statement
- Notice of Privacy Practices
- HIPAA Acknowledgement Form
- Newborn Insurance Reminder
Assessment Forms
Autistic Spectrum Disorders
M-CHAT Checklist (Complete for 18 and 24 month well checks.)
ADHD Vanderbuilt Assessments
Vanderbilt Assessment Scale - PARENT Form
Vanderbilt
Assessment Follow Up - PARENT Form
Vanderbilt
Assessment Scale - TEACHER Form
Vanderbilt
Assessment Follow Up - TEACHER Form
Postnatal Depression
Edinburgh Postnatal Depression Scale (Complete prior to the 1 month checkup)
Additional Forms
Pennsylvania School Health Appraisal Form
Pennsylvania Driver's Permit Form
Pennsylvania Child Health Daycare Form
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