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Clinic Forms

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New Patient Registration   
                        Please only complete the New Patient Registration once you have scheduled an appointment.
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Medical Record Release
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Privacy Practices/HIPAA Form
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LHSAA Medical History and Evaluation form for school sports participation.
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ADHD Assessment

Vanderbilt Form - PARENT 


Vanderbilt Form - TEACHER


Vanderbilt Form - TEACHER FOLLOW-UP

Anxiety Assessment


Screening for Child Anxiety Related Disorders (SCARED) - Child Version



Screening for Child Anxiety Related Disorders (SCARED) - Parent Version

Depression Assessment

Patient Health Questionnaire (PHQ-9)

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