Office Policies and Consent to Treat

New Patient Paperwork

Pre-appointment Behavioral Questionnaire

Release of Records TO Mt. Spokane Pediatrics

Release of Records FROM Mt. Spokane Pediatrics

Authorization to Treat a Minor

Authorization for Consent to Treat a Minor

Vanderbilt – Parent

Vanderbilt – Teacher

Allergy Testing Instructions

NOTE: Please do not send these forms via email, as it is not HIPAA compliant. You are welcome to bring your paperwork directly to your appointment.