When joining our practice you will be asked to review our Financial Policy and sign a few forms including:
- Consent for Use and Disclosure of Protected Health Information - HIPAA
- Patient Eligibility Screening Form for Vaccine for Children Program
- Medical History Form
Other forms that you might find useful are:
- ADD/ADHD Checklist - Vanderbilt Assessment Scale- Parent Informant
- ADD/ADHD Checklist - Vanderbilt Assessment Scale- Teacher Informant
- ADD/ADHD Vanderbilt Follow Up Parent Informant
- ADD/ADHD Vanderbilt Follow Up Teacher Informant
- Medical Release Form
- Permission for release of medical information
- Medication Authorization Form
- Rx Allergy Reaction Plan
If your child has abdominal complaints or headache for longer than a few days, please fill out the corresponding diary below.