Always call us first before going to urgent care or ER unless the situation is life threatening.

Patient Forms

To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at Please bring your completed forms with you to our office at the time of your visit.

Patient Assessment Forms


If you think your child could have ADHD

Have a parent fill out this form

Have teacher fill out this form

Make an appointment with our office to review these forms and assess your child

Controlled Substances Refills such as ADHD Medications can only be refilled during office hours. If your child requires a refill after hours, please contact our office through the patient portal or by calling the office during regular hours.


Is my child developing normally?

These forms are for 9 month olds through 30 month olds to see how your child is developing

These MCHAT and Bright Futures screening forms need to be completed. MCHAT forms needs to be completed at the 18 month and 24 month visit.  Bright Future forms need to be completed at 9 month, 15 month, 24 month, and 30 month visit. Here are the forms: 



Appointments can be made by calling our office during normal business hours.

After Hours & Emergency Care

If you are experiencing an emergency, dial 911 or head to the nearest emergency room. For all other calls, an on-call physician is available 24-hours a day, 7-days a week.

Prescription Renewals

Prescriptions are renewed during normal office hours. In some instances, we may require that the patient be seen in our office prior to medication renewal.


All office visits are payable at the time of service. We accept cash, checks, and most major credit cards and debit cards. Please contact our billing office, HealthTec Solutions, Inc. at 716-639-0155, should you have any financial questions or concerns.