To expedite your first appointment, please print and complete registration forms so that we have all the necessary information to treat your child.
Items 1-4 below need to be completed and returned to us.
Items 5-7 below are for your information and do not need to be returned to us.
- Consent Checklist for Minor Children (rev 8/2020)- Please complete and print
- New Patient Demographic Form (rev 8/2020)- Please print and complete
- Patient Portal and CHADIS Form (rev 1/2021)- Please print and complete
- Credit Card on File Form (rev 8/2020) - Please complete and print
- Policies and Fees - (rev 8/2020)
- Financial Policy - (rev 8/2020)
- Notice of Privacy Practices - (rev 8/2020)
Request for Release of Medical Records (from another Dr. to us)
HIPAA Privacy Form (Patients 18y or older) - To be completed by the 18+yr old Patient
You may be asked to bring in a completed parent and/or teacher Vanderbilt form for your child's upcoming ADHD appointment. You can find these forms by clicking on the links below.
|Monday:||08:30 AM - 05:00 PM|
|Tuesday:||08:30 AM - 05:00 PM|
|Wednesday:||08:30 AM - 05:00 PM|
|Thursday:||08:30 AM - 05:00 PM|
|Friday:||08:30 AM - 05:00 PM|
|Saturday Sick Hours:||08:30 AM - 11:00 AM|