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Bright Futures Pediatrics

(702) 944-4028

Bright Futures Pediatrics

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Forms

HIPPA Forms:

NEW PATIENT PACKET REGISTRATION FORM

PERMISSION TO TREAT FORM

MEDICAL RELEASE FORM

UPDATED DEMOS FORM

TREATMENT CONSENT FORM

ADHD PARENT INITIAL ASSESSMENT FORM

ADHD PARENT FOLLOW UP ASSESSMENT FORM

ADHD TEACHER INITIAL ASSESSMENT FORM

ADHD TEACHER FOLLOW UP ASSESSMENT FORM

CENTENNIAL HILLS OFFICE HIPPA FORMS

WARM SPRINGS OFFICE HIPPA FORMS

Appointments

We will do our best to accommodate your busy schedule. Request an appointment today!

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Office Hours

Monday 8:00am – 5:00pm
Tuesday 8:00am – 5:00pm
Wednesday 8:00am – 5:00pm
Thursday 8:00am – 5:00pm
Friday 8:00am – 5:00pm
Saturday Closed
Sunday Closed

Centennial Location

Phone: (702) 944-4028

Address: 6850 N. Durango Dr. Suite 120 Las Vegas, NV 89149

Warm Springs Location

Phone: (702) 944-4028

Address: 8352 W. Warm Springs Rd. Suite 210 Las Vegas, NV 89113

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