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Patient Forms &
Documents

Everything Dr. Marie needs from your family — organized, secure, and accessible whenever you need it.

All Forms
Developmental

Developmental Screening

Age-appropriate ASQ-3 questionnaires tracking your child’s milestones across communication, motor skills, problem solving, and social development. Completed online, scored securely.

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Social Assessment

The S.T.A.R. Review

The Social Toddler Assessment Review — a focused behavioral and social-emotional check-in for toddlers. Helps Dr. Marie understand how your child is connecting, communicating, and engaging.

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Authorization

Record Release

Authorize the transfer of your child’s medical records to or from Dr. Marie. Required when transitioning from a previous provider or sharing records with a specialist.

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Informed Consent

Leucovorin Consent

Informed consent for off-label use of Leucovorin (folinic acid). Required before your child’s first treatment. Dr. Marie will walk you through this at your visit.

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Need help with a form?Dr. Marie’s team is available by phone, text, or email to assist subscribers.
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    • Newborn Onboarding
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