Visit the Patient Portal to pay bills, view medical records, and more.

General Forms

Allergies

Self Admin Authorization

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School

Prescription Authorization

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Travel

Travel Care Authorization

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Fluoride Varnish

Fluoride Varnish Handout

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Medical

Medical Records Release (To PSP)

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Medical

Medical Records Release (From PSP)

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Medical

Televisit Consent Form

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Depression

Depression Tracker

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Privacy

Privacy Form (Under 18)

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Privacy

Privacy Update Packet (18+)

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Billing

Payment Plan Agreement

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Billing

Good Faith Estimate

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Billing

Election to Self-Pay Services

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Foster

New Patient Forms

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Update

Patient Update Form

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Liability

Responsible Party Form

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ADHD Forms

Vanderbilt Teacher

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Vanderbilt Parent

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Self-Management Tool

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Appointment Check Up

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Treatment Contract

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Self-Care Plan

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Asthma Forms

Asthma Control

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Asthma Medication Training

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School Asthma Action Plan

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Classes

Please visit this link to register online.

Presenting Parkside

Expecting a little one? Come meet one of the Parkside founders, get to know our practice a little better, and enjoy light refreshments. This tour is free but space is limited. Register using the link above. Please note: At this time we are accepting newborns as new patients; however, we are not accepting new transfer patients. Please contact us with any questions.

Mom sitting in the floor next to a window breastfeeding her daughter

Breastfeeding Basics

This free class is a great avenue for expecting parents to have all their questions answered about breastfeeding. Taught by one of our Certified Lactation Consultants, this course is open to couples and we encourage partner participation as they can be one of the keys to success for new moms adjusting to breastfeeding. This class meets on the second Tuesday of every month at our Verdae location. Please register using the link above.

Young mother holding her baby and hissing him on the cheek as they sit on the couch.

Baby Basics

As a new mom, you’ll have many questions when it comes to your newborn. Join other new moms along with our very own Certified Lactation Consultants for Baby Basics. Specifically designed for moms with babies under 12 weeks, this class will put your mind at ease. Here you can receive answers to questions about your baby. Plus you can meet other new moms to share in the adventure that is raising a new baby. While Baby Basics is free, you will still need to register to reserve your spot. Please register using the link above.

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