School, Sports & Medication Forms

We are happy to fill out any forms you need as part of your child's yearly well child care.

Forms are completed based on the date of your child's last Well Child Check. You can verify the date of your child's last check up and download a copy of their immunization record through the Patient Portal

Forms can be sent via email below, dropped off or sent through the Portal.  Forms take 3-5 business days. Please include your child's name, date of birth and complete the parent sections of the form.  

Patients who have not had a check up in the last year will need an appointment to complete a form. If your child is due for an appointment, find out more about getting them scheduled here.

Is your child attending Kindergarten this year? Some schools require a form to be completed in addition to requiring immunization records, please verify with your school. 

Below are some common forms we complete:

Minor Work Permit

Ohio High School Athletic Association Preparticipation Physical Evaluation

Ohio Department of Job and Family Services Child Medical Statement for Child Care

Forward your forms to your child's primary office at: