We've provided our most frequently requested forms here for your convenience.
- New Patient Paperwork
- Parents must complete this paperwork prior to their child’s first appointment with us.
- Medical Release Form (PDF)
- Please complete this form to have records transferred to us, or if you’d like to request records from us.
- Pediatric Office Policy (PDF)
- Also included in our new patient paperwork, download this form for our detailed Office Policies.
- Consent by Proxy for Non-Urgent Care (PDF)
- Please print and complete this form if you are unable to attend your child’s appointment and would like to provide permission for another adult to accompany your child.
- Consent for Underaged Teen to Seek Independent Care (PDF)
- Please print and complete this form if you'd like to provide permission for your underaged teen to seek care independently, without an adult present.
- Vanderbilt Parent & Teacher Questionnaires (PDF)
- If you are concerned that your child may be suffering from ADD or ADHD, please print one Parent Questionnaire and two Teacher Questionnaires. Please visit our ADD & ADHD page for explicit instructions on the use of these forms.
