Forms and Resources

Patient Forms and Resources

New Patient Forms

If you would like to come to your appointment prepared with your pre-filled forms in hand, you may download the New patient form below, print it and fill it out before arriving for your appointment. This will help to ensure that we can come and go in a timely manner.

If you would like to authorize the release of Medical Records to Adventures in Pediatrics, please fill out the Release Form.

Other Forms

Complete and Submit your ASQ-3 Forms Easily and Securely Online

Ages and Stages Questionnaires (or ASQs) are part of your child’s standard well-child exams, starting from the age of 2 months, and going up to 5 years of age.  You can now submit these age-appropriate developmental screening questionnaires through the secure link below.  Please completed this a couple of days before your appointment so that we can better serve you when you arrive to the clinic.

Adventures in Pediatrics
Adventures in Pediatrics