Book an Online Appointment on Zocdoc: Use this link https://www.zocdoc.com/practice/shannon-kluppel-m-d-63844 to book an online video visit through Zocdoc.
PEDS Questionnaire is REQUIRED for Well Child Check-ups at certain ages. If your Portal says to complete the PEDS Questionnaires, use this link http://pedstestonline.com/portal, then use "DrKluppel_portal" as login and "Trains#1000" as password.
Edinburgh Screen: Mom should fill out on each visit from birth through 6 months of age: Use http://www.beyondblue.org.au/resources/for-me/pregnancy-and-early-parenthood/edinburgh-postnatal-depression-scale and report score.
If you are going to GCCISD you will need to register your child online using the following link: https://teams.gccisd.net/registration/#!login
For UIL Sports, this link is necessary for 7 forms: https://goosecreekcisd.rankonesport.com/Main/Default2.aspx?Type=4
- UIL preparticipation-physical-evaluation.pdf
UIL Sports Physical Form
- Texas-HIPAA-Medical-Release-Form with name.pdf
- ADULT PATIENT PORTAL CONSENT FORM03172015.pdf
Adult Consent for Portal
- Medical Release Request Information.pdf
Medical Records Request Policy
- ADULT IMMTRAC FORM03172015.pdf
Vaccine ImmTrac Consent for over 18 years of age