Forms and Links

We’ve made the following forms and links available for your convenience:


Forms

Patient Registration:
Download

Patient Financial Policy:
Download

Financial Waiver
Download

IHSAA Physical Form
(Middle School – High School):

Download

Sports Participation Form
(Elementary School):

Download

Release Of Records – Incoming:
Download

Instructions For Outgoing Records
Download

Release Of Records – Outgoing:
Download

Vanderbilt Testing Assessment – Teacher:
Download

Vanderbilt Testing Assessment – Parent:
Download

Mental Health Referral List:
Download

Preferred Specialist List:
Download

ACA Non Discrimination Notice:
Download

Links

Center for Disease Control and Prevention:
www.cdc.gov

American Academy of Pediatrics:
www.aap.org

Riley Hospital for Children:
www.rileychildrenshospital.com

Vaccine Information Handouts From CDC:
www.cdc.gov/vaccines

Parents of Kids with Infectious Diseases
www.pkids.org

Flumist
www.cdc.gov/media/releases/2016/s0622-laiv-flu.html