Note - please be aware any clinic form can be filled out before the appointment but all forms must be signed in clinic with all parties present OR with an official notary.
Medical Records
Consent for Treatment of MinorsAuthorization to Release records from the ARUP Family Health Clinic
Authorization to Release Records to the ARUP Family Health Clinic
Physicals
12 Month Well Child Check - 1 Year
24 Month Well Child Check - 2 Years
36 Month Well Child Check - 3 Years
48 Month Well Child Check - 4 Year
60 Month Well Child Check - 5 Year
M- Chat Tool - 18 and 24 Month Well Child Check
Procedures
Spirometry- Patient Preparation
Emotional Care
Attention Deficit Disorder - Parent Form
Attention Deficit Disorder - Teacher Form