- Patient Information Forms
- HIPAA Privacy Statement
- Healthcare Power of Attorney
- Release of Records to Primary Care Associates from Another Physician or Hospital
- Release of Records from Primary Care Associates to Another Physician
- Childhood Lead Risk Assessment Questionnaire
- Tuberculosis Screening Questions
- IHSA Sports Pre-participation Exam Form (Please complete page 1 of this form prior to your sports physical with your child/teen. Bring this form with you to the visit and your physician will complete the back page.)
- Modified Checklist for Autism in Toddlers
- Vanderbilt Teacher Follow-up Form for ADHD - Teacher's Form (Please have the teacher fax this form to 708-749-5489 when completed.)
- Vanderbilt Parent Follow-up Form for ADHD - Parent's Form (Please submit this form prior to your physician's visit by portal or fax 708-749-5489.)