These forms are used by Salem Pediatric Clinic and are available for you to view and download. If you are unable to view the PDF forms in your browser, you should install Adobe Reader.

Behavioral Health Clinician
Médico Clínico de Salud Conductual
Behavioral Health Medical Information Release
Autorización para Revelar información Médica de Salud Cognitiva
Mental Health Referral List
Lista de Referentes de Salud Mental
Postpartum Support
Apoyo Posparto
Psychiatric Prescribers
Médicos Psiquiátricos