Please find a list of our forms. Always make sure your Childs Name and Date of Birth are on all paperwork. You can send us forms by:
- Dropping them off at any of our clinics
- Upload to our secure portal at www.cardinalpediatrics.com/securesend
- Email them directly to This email address is being protected from spambots. You need JavaScript enabled to view it., however, please keep in mind email is NOT a secure form of communication
- Fax to 304-599-8003
- Text a picture to 304-599-8000.
Cardinal Forms
- New Patient Packet
- Release of Information to Cardinal Pediatrics
- Release of Information to Third Parties
Screeners
- ADHD Forms
- Child and Adolescent Trauma Screen (CATS)
- Colorado Learning Disabilities Screener
- Colorado Learning Disabilities Screener
- Screen for children as early as 1st grade
- Adult Reading History Questionnaire
- Both parents should fill out as over 50% of learning differences are hereditary
- Screen while children are in Kindergarten
- Colorado Learning Disabilities Screener
- Patient Health Questionnaire (PHQ-9)
- Screen for Child Anxiety Related Disorders (SCARED)