PHS, LLC

Please bring your insurance card and ID card with you for each visit and notify our front desk anytime your insurance coverage changes.
Pediatrics Forms:

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• School Physical Form (Parent/Guardian Page)
• Consent for Treatment of Minor Child
• Consent for Treatment in the Absence of Parent
• Pediatric Medical History
• Pediatric Well-Visit Form(Age 3-5)
• Pediatric Well-Visit Form(Age 6-9)
• Pediatric Well-Visit Form(Age 10-12)
• Pediatric Well-Visit Form(Age 13-20)
• Preventative Screen Questionnaire
• PHQ-9 for Teens

If you are looking for Printable Forms please click this: Printable Forms

Please note: These documents are in Adobe® PDF format. They require Adobe Reader() to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here!