PARSONS PEDIATRICS CLINIC 

IMPORTANT FORMS:

New patient registration form

Flu Shot Consent Form

Record Release Form ( for records coming to Dr. Dixits Office)

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Record Release form (for records going from Dr. Dixits office)

PARENT ADHD RATING SCALE

TEACHER ADHD RATING SCALE

Asthma Action Plan for Schools

Diabetes Plan for Schools

Sport Physical form for Schools

Kan Be Healthy Screening form

YOU CAN PRINT THESE FORMS AND FILL THEM AND BRING TO THE OFFICE.