Patient Forms

Patient Update Forms [PDF] [Online]
Medical Release Form [PDF] [Online]
Vanderbilt Parent Assessment - Initial [PDF] [Online]
Vanderbilt Teacher Assessment - Initial PDF] [Online]
Vanderbilt Parent Assessment - Follow up [PDF] [Online]
Vanderbilt Teacher Assessment - Follow up [PDF] [Online]
Financial Agreement [PDF] [Online]
Consent Form [PDF] [Online]
Notice of Privacy Practices [PDF] [Online]
Initial History Questionnaire [PDF] [Online]

Location

Our Location

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Hours of Operation

All visits by appointment only. No walk-ins accepted.

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-5:00 pm

Saturday:

8:00 am-12:00 pm

Sunday:

8:00 am-12:00 pm

Featured Articles

Tips for Parents of Adolescents: Common Concerns

Most importantly, let your teen know that he or she can talk with you and his or her doctor about dating and relationships. Offer your guidance throughout this important stage in your teen's life. ...
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Protect Your Child From Poison

Children can get very sick if they come in contact with medicines, household products, pesticides, chemicals, or cosmetics. This can happen at any age and can cause serious reactions. However, most children who come in contact with these things are not permanently hurt if they are treated right away. ...
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VIS-Rotavirus Vaccine

Rotavirus commonly causes severe, watery diarrhea, mostly in babies and young children. Vomiting and fever are also common in babies with rotavirus. ...
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VIS—Polio Vaccine

Polio (or poliomyelitis) is a disabling and life-threatening disease caused by poliovirus, which can infect a person’s spinal cord, leading to paralysis. Polio vaccine can prevent polio. ...
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VIS—MMRV (Measles, Mumps, Rubella, and Varicella) Vaccine

Measles, mumps, rubella, and varicella are viral diseases that can have serious consequences. Before vaccines, these diseases were very common in the United States, especially among children. They are still common in many parts of the world. ...
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Haemophilus influenzae Type b

Depends on the site of infection. May include ...
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VIS—Meningococcal ACWY Vaccine

Meningococcal disease is a serious bacterial illness. It is a leading cause of bacterial meningitis in children 2 through 18 years old in the United States. Meningitis is an infection of the covering of the brain and the spinal cord. ...
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VIS—Influenza (Flu) Vaccine (Inactivated or Recombinant)

With any medicine, including vaccines, there is a chance of reactions. These are usually mild and go away on their own, but serious reactions are also possible. ...
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VIS—Influenza (Live, Intranasal) Vaccine

Influenza (“flu”) is a contagious disease that spreads around the United States every year, usually between October and May. ...
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VIS—HPV (Human Papillomavirus) Vaccine

HPV vaccine prevents infection with human papillomavirus (HPV) types that are associated with many cancers. ...
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