For your convenience, we’ve provided downloadable forms in .pdf format for your upcoming visit. General Forms Appointment of Agent ASQ Developmental Screen Asthma Assessment Authorization for Treatment HIPPA Right of Access Form for Family Member/Friend (for patients being seen without a parent in attendance) MCHAT Developmental Screen Medical Records Release Form COVID Vaccine Consent Flu Vaccine Consent New Patient Forms Electronic Communication Policy Patient Information Form Pediatric Health Questionnaire Receipt of Privacy Practices ADD/ADHD Forms ADD/ADHD Evaluation & Treatment ADD ADHD Prescription Management ADHD Books for Parents, Teachers, and Children Scheduling ADD ADHD Appointments NICHQ Vanderbilt Assessment Scale — ADHD Parent NICHQ Vanderbilt Assessment Scale — ADHD Teacher
