Patient Forms

Patient Forms

We are happy to provide our office forms for convenient download on your home computer. Please print and complete the forms below and bring them with you to your child’s first appointment. Questions about which forms you need? Please call our office and our courteous staff will assist you in preparing for your child’s first visit.

Patient Enrollment 

English

Spanish

Health History

English

Spanish

Teen Health History

English

Spanish

Release of Information

English

Spanish

Consent Form

English

Spanish

Lead Screening

English

Spanish

Behavioral Health Forms

Autism/Specturm

English

Spanish

Depression

English

Spanish

School Concerns

English

Spanish

If you have any questions about behavioral health services at Canyon please email us at anytime [email protected] or call us at 480-507-2199

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