17200 Ventura Boulevard Suite 212 Los Angeles, CA 91316
Assignment of Benefits Form
Patient Registration
Release of Medical Records
Turning 18 Notice for Parents
Minor Surgery Consent
Refusal to Vaccinate
Refusal to Vaccinate - Spanish
Edinburgh Postnatal Depression Scale
GAD-7
MCHAT
M-CHAT-R_F
PHQ-9 (Adult)
PHQ-9 (Modified for Teens)
PSC-17
SCARED Anxiety Screen (child to complete)
SCARED Anxiety Screen (parents to complete)
Spanish-M-CHAT-R-FUI
ADHD Parent Initial Form
ADHD Parent Follow-Up Form
ADHD Teacher Initial Form
ADHD Teacher Follow-Up Form