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Registration formssuperadmin2023-05-23T09:57:50+00:00

Forms

Forms

New Patient Forms Packet
Policy for Divorced or Separated Parents
Notice of Privacy Practices
Request for Prior Medical Records

ADHD Evaluation Forms

NICHQ Vanderbilt Assessment Scale—PARENT Informant
NICHQ Vanderbilt Assessment Scale—TEACHER Informant
NICHQ Vanderbilt Assessment Follow-up—PARENT Informant
NICHQ Vanderbilt Assessment Follow-up—TEACHER Informant

Development Questionnaire

6 Month Questionnaire
12 Month Questionnaire
18 Month Questionnaire
24 Month Questionnaire
30 Month Questionnaire
36 Month / 3 Year Questionnaire
48 Month / 4 Year Questionnaire
60 Month / 5 Year Questionnaire

CONTACT INFORMATION

10115 W Forest Hill Blvd, Ste 303
Wellington, Florida 33414-3105
(561) 798-5565
(561) 461-6287

FOLLOW US:

SERVICES

Prenatal Visits
Well Child Visits and Immunizations
Sick Office Visits
Telemedicine Visits
Preoperative Medical Clearance Exams
Preparticipation Sports Clearance and Physicals
Pulmonary Function Testing
Vision Screening
Hearing Examination
Ear Piercing
Developmental Screenings and Behavioral Assessments
Obesity

OFFICE HOURS

Monday: 8:30AM – 5:00PM
Tuesday: 8:30AM – 5:00PM
Wednesday: 8:30AM – 5:00PM
Thursday: 8:30AM – 5:00PM
Friday: 8:30AM – 5:00PM
Saturday: 9:00AM – 12:00PM

We are a member of the TopLine MD Alliance, a collective group of practices, providers and specialty centers that help patients navigate a complicated healthcare system. Membership in the Alliance is highly selective and based on exceptional patient satisfaction. Our priority is to provide you with top-of-the-line care, through a network of dedicated people you can trust, while making your experience simple and convenient.
Learn more about the Alliance >

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