Forms & Policies
Printable Office Forms
Prior to your appointment, the forms listed below can be printed for your convenience. Filling them out beforehand will save you time by not having to complete them during your appointment. If you elect not to fill out these forms ahead of time, please arrive 15 minutes prior to your scheduled time. (You may download Adobe Reader for free at www.adobe.com.) Completed forms can be emailed to Seaside@seasideped.net.
Well Check Form & Ages and Stages Questionnaire
- Patient Registration - English
- Patient Registration - Spanish
- Over 18 Intake - English
- Over 18 Intake - Spanish
- Over 18 Waiver
- MCHAT
- English15
- Spanish 15
- 18
- 24
- 36
Behavioral Health Forms
- ADHD Parent Follow-Up Form
- ADHD Parent Initial Form
- ADHD Teacher Follow-Up Form
- ADHD Teacher Initial Form
- GAD-7
- SCARED Anxiety Screen (parents to complete)
- SCARED Anxiety Screen (child to complete)
- Edinburgh Postnatal Depression Scale
- PHQ-9 (Modified for Teens)
School Forms
Will send
Meds
504
Office Policies
HIPPA Privacy Notice
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