image


All patients

A ll established patients will need to complete these forms once a year or with any information changes:

All patients will need to complete this form at each visit.


Transferring patients

If you are transferring your child's care FROM Alabaster Pediatrics TO another provider, please complete this Medical Records Release [ PDF ]

Click Here for the Online Medical Record Release Form


ADHD Evaluation Forms

Patients undergoing initial ADHD evaluations will need to have 1-2 parents and up to 3-4 teachers complete these initial forms.

  • Initial Evaluation - Parent [ PDF ]
  • Initial Evaluation - Teacher [ PDF ]

Patients having follow-up ADHD evaluations will need to have 1-2 parents and up to 3-4 teachers complete these follow-up forms.

  • Follow-up Evaluation - Parent [ PDF ]
  • Follow-up Evaluation - Teacher [ PDF ]


Autism Screening


In order to view or print these forms you will need Adobe Acrobat Reader installed.

Click here to download it.


The forms above can be returned to:

Alabaster Pediatrics,  1004 1st Street North,  Suite 370,  Alabaster, AL  35007

email: [email protected]