MHSAA Sports Form - for school sports grade 6 and above*
*Of note, the MHSAA requires these forms to be signed AFTER April 15 for the following school year sports. If your child has had a well visit prior to this date, he/she will need to come back to clinic for an exam to get the form signed per MHSAA regulations.
Health Appraisal Form - For preschool, Head Start or other early education program
Authorization Forms If someone else other than a parent/guardian will be bringing your child to an appointment.
School Medication Authorization Forms
Transition of Care Forms:
Upon turning 18 years old, you are a legal adult and must complete the following form:
Our goal as pediatricians are to have our patients outgrow us. While we are happy to follow college students through that transitory time of life, once you 1) graduate from college and/or 2) begin living a more independent/adult lifestyle, it is time to begin the transition to an adult physician.
In the event of a transfer out of our practice for any reason, it is suggested that you complete the following form so your next provider can take the best care of you possible:
If you have any questions regarding why we're asking for certain information, please refer to our Form FAQs page.