Patient PortalPay Your BillSymptom Checker

Hours

Monday-Friday 8:00am - 4:30pm
Saturday 8:00am to 12:00pm Same day visits by appointment
Sunday CLOSED
Triage nurses are available when the clinic is closed by calling the clinic and following the prompts

Forms

New Patient Forms arrive via link after you schedule your first appointment with us.

Appointment Forms

ACT 4-11ACT 12 and upPHQ-APHQ-9 & GAD-7PROMIS - Parent Proxy Anxiety SurveyPROMIS - Pediatric Anxiety SurveyPROMIS - Pediatric Anxiety SurveyPSC-17SCARED Short-parent versionSCARED Short-parent versionSCARED Short-child versionSCARED Long-child versionSCARED Long-parent versionSCARED Long-parent versionSMFQPatient Safety Form

Developmental Behavioral Forms - Dr. Flake

Developmental Behavioral

Flu Vaccine Clinic

Flu Vaccine Information StatementFlu Vaccine Information Statement- MistFlu Vaccine Consent Form 2024-2025

New Patient Forms

Release Forms

Consent for Release of Medical Records

NICHQ Vanderbilt Assessment Forms

NICHQ Vanderbilt Assessment Form - ParentNICHQ Vanderbilt Assessment Follow-up - ParentNICQH Vanderbilt Assessment Form - TeacherNICHQ Vanderbilt Assessment Follow-up - Teacher

Misc