General Forms
Forms available to print and complete at home.
- Patient History Forms For all New Patients
- Consent to treat unaccompanied minor For the rare instance where an older teen may come to a visit unaccompanied, please send your child with the attached form; In order to provide the most comprehensive care and be concordant with all parties, we would MUCH prefer a child to be accompanied by a parent.
- Consent to treat patients under the age of 18 Authorization for patients to be seen without the parent/guardian present
- Patients over the age of 18 For our patients over the age of 18 to set up own account on our website and to authorize parents to still have access to medical information
- Records to be transferred out To have records transferred from FHPA to another physician
- Records transferring in To authorize records to be transferred from another physician or facility to FHPA
- Consent to share behavioral health information To allow your physician at Forest Hills and your mental health provider to share information
- Return to Play From required for athletes to return to play after a concussion
- ADHD Parent Follow Up This form can be printed and completed or it can also be completed online in the patient portal three days prior to a scheduled follow up appointment.
- ADHD Teacher Follow Up This form can be printed and filled out by the student’s teacher.