- 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 Preparticipation Physical Form for Sports(Parents need to complete the lower part of page 1 and all of pages 2-3 with your athlete before the visit and bring this form to the visit with you.)
- 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.)