Patient Resources

When you call to make an appointment, please specify which doctor you would like to see or you will be offered the first available appointment to accommodate your child’s needs. Dr. Samter’s schedule varies from above business hours. He is in the office until 2pm, four days a week.

The phones are on service mode from 12pm – 1:30pm daily.

New Patient Forms

New Patient

Records Release

Developmental/Routine Screenings

Developmental ASQ Screening – 9 Month Visit

Developmental MCHAT Screening – 18 Month Visit

Developmental MCHAT Screening – 24 Month Visit

Developmental ASQ Screening – 30 Month Visit

Adolescent Physical Form – Patient

Immunizations Screening Questionnaire

ADD/ADHD

Teacher Assessment

Parent Assessment

Follow-Up Parent Assessment

Follow-Up Teacher Assessment