Forms
Click on the following forms to view/print them:
REGISTRATION/AUTHORIZATION
Demographic Information Form
Authorization for Medical Treatment with Caregiver other than Parent/Legal Guardian
Authorization for 16-17 Year Old Minor to Receive Treatment Without Parent/Legal Guardian
Authorization to Release Medical Information
Authorization for Mode of Reporting Normal Test Results
ATTENTION DEFICIT/HYPERACTIVITY
ADHD (Attention Deficit/Hyperactivity Disorder) Initial Parent Survey
ADHD (Attention Deficit/Hyperactivity Disorder) Initial Teacher Survey
Vanderbilt ADHD Initial Parent Survey
Vanderbilt ADHD Initial Teacher Survey
Vanderbilt ADHD Follow Up Parent Survey
Vanderbilt ADHD Follow Up Teacher Survey
DEVELOPMENTAL SCREENING
M-CHAT (Modified Checklist for Autism in Toddlers)
MENTAL HEALTH SCREENING/ASSESSMENT
PHQ-9 (Modified) Depression Survey
SCARED Anxiety Survey (Child Informant)
SCARED Anxiety Survey (Parent Informant)
SPORTS PRE-PARTICIPATION