The forms below may be downloaded as needed. Just click on the link to download.

Patient Registration Form

Patient Registration Form

Vaccine Consent Form

Vaccine Consent Form

Privacy Practices and Office Policy Acknowledgement

Privacy Practices And Office Policies Form

Billing and Insurance Policies

Billing and Insurance Policies

Authorization for Disclosure of Protected Health Information

Authorization and Disclosure Form

Request For Medical Records Form

Records Release Authorization Form

Kentucky High School Sports Physical Form

KHSAA High School Sports Physical Form 2023 (complete)

Kentucky Middle School Sports Physical Form

KHSAA Middle School Sports Physical Form 2023 (complete)

Patient Health Questionnaire (PHQ-9)

Screen for Child Anxiety Related Disorders (SCARED)

SCARED Forms (Parent and Child)

NICHQ Vanderbilt Assessment Scale

NICHQ Vanderbilt Assessment Scale

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