As a convenience to you, we have posted several forms we commonly use in our practice.
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- New Patient Application Form
If you would like to join our practice, please click on the above link and fill out the form. If you are a member of a CHP employer group health plan with medical clinic benefits, please call us directly to become a patient.
- Health History Form
If you have already registered you can download the Health History Form. You can either print the form and fill it in by hand or you can fill it in on your computer.
- Authorization to Disclose Protected Health Information
If you would like to release your protected health information from Grand Valley Pediatrics please fill out this form.