http://www.almadenpediatrics.com San Jose, California, Pediatrics http://backend.userland.com/rss092 en Autism Screening Form This questionnaire is used to help identify children who are at risk for autism. Please print, complete, and bring to your child's 18 month and 2 year visits. You may also use this form for any child under the age of 5 years. Download PDF http://www.almadenpediatrics.com/in-the-community/forms/autism-screening-form Behavioral/ADHD Diagnosis Packet and Forms Our Behavioral/ADHD Diagnosis Packet includes the following important information and forms: Our Behavioral Health Policy which outlines the financial arrangements and obligations of patients and their insurance company. The Behavioral Initial Visit form which asks you to review the child’s behavior in various settings and is to be ... http://www.almadenpediatrics.com/in-the-community/forms/behavioradhd-evaluation-and-diagnosis-forms Autism Screening Form This questionnaire is used to help identify children who are at risk for autism. Please print, complete, and bring to your child's 18 month and 2 year visits. You may also use this form for any child under the age of 5 years. Download PDF http://www.almadenpediatrics.com/services/behavior-diagnosis-evaluation-forms/autism-screening Behavioral/ADHD Diagnosis Packet and Forms Our Behavioral/ADHD Diagnosis Packet includes the following important information and forms: Our Behavioral Health Policy which outlines the financial arrangements and obligations of patients and their insurance company. The Behavioral Initial Visit form which asks you to review the child’s behavior in various settings and is to be ... http://www.almadenpediatrics.com/services/behavior-diagnosis-evaluation-forms/behavioral-adhd-diagnosis-packet-and-forms Records Release In order for us to receive records from your previous doctor, please print and complete the records release form. Download PDF http://www.almadenpediatrics.com/in-the-community/forms/records-release-form Patient Information Form The registration form provides us with your family and contact information. Please complete this form online (use the Tab key to move around the form), print it and bring to your first appointment. Download PDF http://www.almadenpediatrics.com/in-the-community/forms/patient-information-form Immunization Policy This form outlines our policy that all patients must be immunized. A signed form is required for all patients. Please print and sign. Download PDF http://www.almadenpediatrics.com/in-the-community/office-policies/immunization-policy Notice to Website Viewers This web site is provided for information and education purposes only. No doctor/patient relationship is established by your use of this site. No diagnosis or treatment is being provided. The information contained here should be used in consultation with a doctor of your choice. No guarantees ... http://www.almadenpediatrics.com/disclaimers HIPPAA (Privacy) Policy This document provides important information about your privacy rights. Please print and read this document.Download PDF HIPPAA (Privacy) Acknowledgement This form acknowledges that you have received and read our HIPPAA-compliant privacy policy. Please print and sign this form. Download PDF http://www.almadenpediatrics.com/in-the-community/office-policies/hippaa-privacy-policy Credit and Financial Policy Our credit and financial policy explains our procedures for billing your insurance company and outlines your responsibility to pay. Download PDF http://www.almadenpediatrics.com/in-the-community/office-policies/credit-and-financial-policy