We understand there are times when someone else needs to bring your child to the office or call with questions. We must have permission on file for someone other than a parent or legal guardian to ask for medical information, come to an appointment, or sign for any vaccine or tests that are indicated. This person could be a grandparent, step-parent, or other trusted adult. Please see our Forms and Policies section to download the “appointment of personal representative” form.
Please note that all patients 18 years and older must complete this form in order for our staff and physicians to schedule, exchange information, or give results to parents in accordance with privacy rules.