Patient Forms

New Patient Packet

New patients should plan to download, review, and complete the following packet prior to their first visit:

Click on the above image to download the packet

Vanderbilt Assessment Forms

To be filled out by Child
To be filled out by Parent

Insurance Billing

We are not in network with any insurance companies, and payment is due in full at the time of service.  We provide a Superbill (a detailed receipt) that can be submitted to insurance for reimbursement, and are happy to provide assistance with that process if needed.  Here are some links to reimbursement forms/procedures for some of the more common insurance plans: