(805) 965-1095
15 East Arrellaga Street • Santa Barbara
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FX: 805-965-890
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About Us
Welcome
About Our Office
Office Policies
Practice News
Insurance
Our Doctors
New Patients
Forms
Contact
About Us
Welcome
About Our Office
Office Policies
Practice News
Insurance
Our Doctors
New Patients
Forms
Contact
Forms and Paperwork
Below is a list of forms available for download.
Office Forms
New Patient Questionnaire (PDF)
Medical Records Release (PDF)
Pre-Travel Form (PDF)
Financial Policy (PDF)
New Patient Questionnaire - Spanish (PDF)
Financial Policy -Spanish (PDF)
Notice of Privacy Practices
Developmental Forms
ASQ 9 Month (PDF)
ASQ 18 Month (PDF)
ASQ 24 Month (PDF)
ASQ 30 Month (PDF)
Intervention Activities
Intervention Activities 8-12 Months (PDF)
Intervention Activities 16-20 Months (PDF)
Intervention Activities 20-24 Months (PDF)
Intervention Activities 24-30 Months (PDF)
Intervention Activities 30-36 Months (PDF)
VISUAL SYMPTOM CHECKER
IS YOUR CHILD SICK?®
HELPFUL HEALTH LINKS
USEFUL WEBSITES
