Download A Form

Please let us know if you have any questions about the forms found here, or if you need more information about the paperwork required before your visit! We look forward to seeing you soon.

Registration Packet

( > 1 Year Old)

Registration Packet

Newborn

NWSP is pediatric primary care with behavior management and therapy services reserved for our established patients. Established patients are those who see one of our medical providers for everything from yearly wellness exams to sick visits. One of our medical providers needs to be listed as your child’s ‘PCP’ on your insurance coverage.

Welcome – Policies

Notice of Privacy Practices

PARENT ACCOMPANY NOTICE

PERMISSION TO ACCOMPANY A MINOR

PERMISSION TO TREAT A MINOR

OCCUPATIONAL THERAPY INTAKE

SPEECH THERAPY INTAKE

Vanderbilt Assessment Forms

First Assessment

Parent

First Assessment

Teacher

Follow Up

Parent

Follow Up

Teacher

MEDICAL RECORD RELEASE

MEDICAL RECORD REQUEST

SPORTS PHYSICAL FORM

Ready For A Visit?

We are located at 220 E. Rowan Ave. Ste. #150 in Spokane, Washington (99207). Our office hours are Monday – Friday 8 am – 5 pm. Schedule an appointment with us today – we look forward to seeing you soon!