SEED Center Enrollment Forms

The SEED Center is temporarily closed and is not currently accepting new patients. For existing patients, please contact your physician directly for appointments, questions and concerns. We plan to re-open in a few months and apologize for any inconvenience.

Authorization to Share Medical Information - Pediatric
This will allow us to share medical information among all SEED Center providers, and to share medical information between SEED Center providers and other medical providers stated by the parent.
SEED Center - Patient Authorization - Pe
Adobe Acrobat Document 62.2 KB
Authorization to Share Medical Information - Adult
This will allow us to share medical information among all SEED Center providers, and to share medical information among SEED Center providers and other medical providers stated by the patient.
SEED Center - Patient Authorization - Ad
Adobe Acrobat Document 62.0 KB
Disclosure Notice
Form - SEED Center - Disclosure Notice t
Adobe Acrobat Document 55.4 KB
Email Release - Pediatric
Email Release- Pediatric.pdf
Adobe Acrobat Document 453.1 KB
Email Release - Adult
Email Release- adult.pdf
Adobe Acrobat Document 453.1 KB
Hotel List
If you are traveling to The Center and need to stay overnight, this is a list of the hotels around The Center who give medical reduced rates to SEED patients. If you would like us to check a different hotel, we are happy to do so.
Hotel Lists.pdf
Adobe Acrobat Document 92.3 KB
The SEED Center's Mission Statement
Mission_Statement.pdf
Adobe Acrobat Document 52.9 KB
Policy Form - Pediatric
If the patient is under 18, please fill out this policy form. If the patient is over 18, please fill out the Policy Form for Adults below.
Policy Form - Pediatric.pdf
Adobe Acrobat Document 29.0 KB
Policy Form - Adult
If the patient is over 18, please fill out this policy form. If the patient is under 18, please fill out the policy form for pediatric patients above.
Policy Form - Adult.pdf
Adobe Acrobat Document 27.8 KB