PROVIDERS FOR HEALTHY LIVING
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Providers For Healthy Living:  Current Patient Forms
Locate the form that you need and then click on it to download.
Medication Refill Request Form
Vanderbilt (ADHD) Rating Scales for Parents
Vanderbilt (ADHD) Rating Scales for Teachers
Release of Information Form
Notice of Privacy Practices
Permission to Obtain Medical Treatment Form
Informed Consent for Treatment
Providers For Healthy Living: New Patient Forms
Locate the form that you need and then click on it to download.
New Patient SELF Registration Form - for patients to refer themselves for services
Professional Referral Form - for medical and mental health professionals to refer patients
Child/Adolescent ADHD Vanderbilt Teacher Diagnostic Form