Visit Handouts
Newborn
2-4 week
2 month
4 month
6 month
9 month
12 month
15 month
18 month
2 year
3 year
4 year
5-6 years
Health & Wellness
- ACT (Asthma Control Test) Â for 4-11 year old children and 12 years and older
- 48 Hour Dietary Recall
- NICHQ Vanderbilt Assessment
- Therapist referrals
Medical Records and Billing
- Record Release / Transfer Request
- Authorization to Receive Medical Records from Another Practice
- Adolescent Confidentiality Handout
Important Policies