Forms

As a new patient, there is paperwork that must be completed.  You can access these forms below or we are happy to provide all forms at your first visit.  Please plan to arrive early.  You will be asked to present your insurance card at the first visit and then every visit thereafter even if you insurance has not changed. For ADHD appointments please make sure both parent and teacher forms are completed and sent to us before the appointment. You can email completed forms to forms@pedsmtcarmel.com.

**Please note that with newborns you only have 30 days to add them to your insurance plan.

New Patient Forms

New Patient Forms in Spanish

New Patient Forms in Uzbek

Telemedicine Forms

Check in instructions for your virtual visit.

School Forms

ADHD Forms

New Patient Forms for Dr. Minton

Therapy Agreement