Registration Information
Dear Families,
To make sure that our office is the best fit for your family, please call us to set up a meet-and-greet appointment where you'll have the opportunity to meet Dr. Yamaguchi, our pediatric nurse practitioner, Catie Straut, and the rest of our wonderful staff. If you wish to join our practice, please take the time to print and fill out the following forms: New Registration Forms (as of October 1, 2018)
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tlp_registration_packet_0-11_years_.pdf | |
File Size: | 971 kb |
File Type: |
12-17 years:

tlp_registration_packet_12-17_years.pdf | |
File Size: | 1126 kb |
File Type: |
Immunization Registry:

cair_decline_eng.pdf | |
File Size: | 30 kb |
File Type: |
HIPPA Privacy Notice:

tlp_notice_of_privacy_practices.pdf | |
File Size: | 589 kb |
File Type: |
Records Release from Prior Pediatricians

records_release_auth.coming_(2).doc | |
File Size: | 24 kb |
File Type: | doc |