HIPAA
Notice of Privacy Practices
Acknowledgment and Consent

Financial Policy
Financial Policy

New Patient
Registration Packet (includes Financial Policy, HIPPA Consent, and Patient Registration Form)

Records Transfers
To Integrative Pediatrics
From Integrative Pediatrics

Former Westside Pediatrics Patients
Patient Concerns
Questions

Immunizations
Decline due to Religious Beliefs
Vaccination Glossary
For Information about specific Immunizations, click here

Autism Screening
M-Chat – used to screen for Autisms at 18-24 months
Vanderbilt Assessments – used to screen for ADD and ADHD in school age children
   -Parent Part 1
   -Parent Part 2

   -Teacher Part 1
   -Teacher Part 2

Miscellaneous
Lead Screening Questionnaire
Portal Registration Instructions
Authorization for Consent to Treatment