Padder Health - Providing multi-specialty health care services

Please bring your insurance card and ID card with you for each visit and notify our front desk anytime your insurance coverage changes.
If you are looking for Instructions click this button:

New Patients:

New Patient Registration Form
Notice of Privacy Practices
Financial Policy
Release of Medical Records
Authorization to Release Information
Adult Medical History (For Primary Care Patients)
Adult Medical History (For Cardiology Patients)

Cardiology Forms:

Referral Form

Covid-19 Forms & Information:

Covid-19 Vaccine Pre-Screening Form
Covid-19 Vaccine Pre-Screening Form (Page 1 Only)
Johnson & Johnson Covid-19 Vaccine Information

Pediatrics Forms:

Consent for Treatment of Minor Child
Consent for Treatment in the Absence of Parent
Pediatric Medical History
Pediatric Well-Visit Form(Age 3-5)
Pediatric Well-Visit Form(Age 6-9)
Pediatric Well-Visit Form(Age 10-12)
Pediatric Well-Visit Form(Age 13-20)
Preventative Screen Questionnaire
PHQ-9 for Teens

Sleep Medicine:

Sleep Questionnaire
Epworth Sleepiness Score
Stop-Bang Questionnaire

Please note:These documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here