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"I couldn't imagine better doctors for my baby! Dr. Van and Dr. Czuba are both so incredible, I feel so comfortable and safe in their office and free to talk about whatever I want and take as much time as I need discussing all my concerns."

Patient Forms

If this is your first visit to Bee Well, you can save time by filling out the required new patient forms at home instead of in our waiting room. Please bring completed forms with you to your appointment. To get started, please click on the links below to download the forms.

Bee Well Patient Info Authorization

Bee Well Consents and Releases

ADHD Questionnaire for Parents

ADHD Questionnaire for Teachers

Ear Piercing Consent Form

Ear Piercing FAQ