Forms
(Please print, complete, and sign. To download these forms, you must have
the Adobe Acrobat Reader. This may be downloaded at no-charge from
www.adobe.com.)
Appointment Scheduling Forms
In order to be scheduled for an appointment, we require that you submit these
forms.
ATC Financial Policy Agreement - please call for updated form
Welcome Packet Forms
The following forms, as applicable, must be signed and completed atleast
10 days prior to the scheduled appointment. Please submit these forms
promptly so that time will be maximized wisely during the patient's
scheduled visit.
The Autism Questionnaire is a 27-page document that must be completed in
order to provide the maximum information to the physician.
Religious Exemption Certification Form
Click on the link below and complete the form. Submit the form to the school
nurse.
International Shipping Forms
The following forms are to be used for shipping laboratory specimens from
overseas. Directions for the completion of the forms are attached. If you have
any questions, please direct them to the specialized labs.
- Urine Toxic Heavy Metals
- Fecal Metals
- Red Blood Cell Elements
- Advanced Metallothionein Profile
- CDSA 2.0
- Elementary Hair Analysis
- Parasitology
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