Patient Medical Records and Forms
Quickly and conveniently access patient forms from our practice.
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Medical Records
There is no charge to send Medical Records between physicians; however, there is a fee associated with other medical records requests. Medical records can be emailed to [email protected]. Clink the link above for the form.
Dr. Sells is fantastic! We have been with her since our baby since her release from the NICU! Dr. Sells is very knowledgeable and patient! She has helped our baby love her visits to the doctor, even requesting to go see “Dr. Sells” without a scheduled appointment. Thank you for the special gifts (books) at each scheduled doctor’s visit! Perfect touch!
Our Policies
Patient Forms
Preparticipation Physical History & Evaluation: Click the link below
Submitted Physical Forms must have ALL patient information fields completed by parents and include the following pages:
- History
- Athlete With Special Needs/Supplemental History
- Physical Examination
- Medical Eligibility
Forms submitted with missing pages cannot be completed. You may email forms that have been completed to [email protected].
Please allow 3-5 business days from receipt.
Our In-Network Insurance List:
New Patients please note: Due to the many patients desiring an appointment, a missed first appointment may lose the opportunity to schedule another appointment.