Forms

• Beacon Pediatrics New Patient Registration Form

• Beacon Pediatrics MyChart Registration Form

• Beacon Pediatrics Family History Form

• Beacon HIPAA Authorization

• Beacon Patient Privacy Practices

• Beacon Pediatrics Family Behavior Policy

• Beacon Pediatrics Vaccine Policy

• Beacon Pediatrics Financial Policy

• Beacon Pediatrics Credit Card Authorization Form

• Beacon Pediatrics Financial Policy

• Beacon Pediatrics Sick Visit During Well Visit Policy

• Beacon Pediatrics Credit Card Authorization Form

• Edinburgh Postnatal Depression Scale

• GAD-7

• MCHAT

• PHQ-9 (Adult)

• PHQ-9 (Modified for Teens)

• PSC-17

• SCARED Anxiety Screen (child to complete)

• SCARED Anxiety Screen (parents to complete)

• SWYC (all ages)

• Health Needs Assessment (HNA)

• PHQ-2 (parent)
• Postpartum Depression Screen

• PSC-17-Y

• PHQ-4

• S2BI

• Sudden Cardiac Event Screening Form

• Asthma Control Test 4-11 Years

• Asthma Control Test 12 Years and Older

• Beacon-Pediatrics-Authorization-to-Release-Information-to-Parents-or-Guardians

• Beacon Pediatrics-Authorization-To-Release-Medical-Records

• Authorization for Medical Treatment of a Minor

• Guardian Authorization Form