Patient Forms

Patient Forms

For your convenience, the following forms are available to print and complete prior to an appointment in our office. Please give your completed forms to our staff member at the check-in desk upon arrival in the office.

New patient/newborn forms:

Change of address/phone number/ custody/ emergency contacts:

Medical Record Release and Consents:

ADHD Vanderbilt Evaluation Forms:

ADHD Vanderbilt Follow-up Forms:

Sports Physical Forms:

School / Daycare Forms:

Boy Scouts Medical Forms:

Anxiety/Depression Forms:

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

Contact Us

Our Location

All scheduling for all offices done through the Traverse City Office

Hours of Operation

Our Regular Schedule

Kids Creek Children’s Clinic - Traverse City

Monday:

7:30 am-5:00 pm

Tuesday:

7:30 am-5:00 pm

Wednesday:

7:30 am-5:00 pm

Thursday:

7:30 am-5:00 pm

Friday:

7:30 am-5:00 pm

Saturday:

8:30 am-12:00 pm

Sunday:

Closed

Kids Creek Children’s Clinic - Kalkaska

Monday:

9:00 am-3:00 pm

Tuesday:

9:00 am-3:00 pm

Wednesday:

9:00 am-1:30 pm

Thursday:

10:30 am-4:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Kids Creek Children’s Clinic - Beulah

Monday:

9:00 am-3:30 pm

Tuesday:

9:00 am-3:00 pm

Wednesday:

9:00 am-3:00 pm

Thursday:

10:00 am-4:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed