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

Immunizations
Visit and Vaccination Schedule at Integrative Pediatrics
Claiming a Religious Exemption in Oregon
Decline due to Religious Beliefs
Vaccination Glossary
For Information about specific Immunizations, click here
Oregon Certificate of Immunization Status

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 Assessment
   -Parent Assessment Follow-Up

   -Teacher Assessment
   -Teacher Assessment Follow-Up

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