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