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Patient Forms

Complete your forms online before your visit

Important: New Patient Process

Please start with the Pending Patient form and wait for acceptance confirmation from our office before completing the full Patient Forms. Authorization forms can be completed at any time.

Pending Patient

Registration form for patients scheduling their first appointment. Complete this first!

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New Baby

Consultation questionnaire for expecting parents preparing for baby's first visit.

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Patient Forms

Complete after acceptance. Full intake paperwork including medical history and insurance.

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Authorization Forms

Complete these forms at any time to authorize information sharing and acknowledge privacy practices

Privacy Practices

Acknowledge receipt of our Notice of Privacy Practices and understand your rights.

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Health Info Disclosure

Authorize disclosure of protected health information to specified parties.

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Patient Resources & Information

Download helpful guides and assessment forms for your reference

Medication Dosing Guide

Complete dosing guidelines for common pediatric medications including Tylenol, Ibuprofen, cold medicines, and allergy medications.

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Vanderbilt ADHD Assessment (Parent)

Initial ADHD assessment questionnaire to be completed by parents for diagnostic evaluation.

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Vanderbilt ADHD Assessment (Teacher)

Initial ADHD assessment questionnaire to be completed by teachers for diagnostic evaluation.

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Vanderbilt ADHD Follow-up (Parent)

Follow-up questionnaire for parents to track response to ADHD treatment and symptom changes.

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Vanderbilt ADHD Follow-up (Teacher)

Follow-up questionnaire for teachers to track response to ADHD treatment and symptom changes.

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Need Help?

If you have any questions or need assistance completing these forms, please call our office.

Phone: 830-627-2700
Address: 948 Gruene Road, #140, New Braunfels, TX 78130