Forms Center
New Patient Forms
Advocare Atrium Pediatrics' forms are listed below and can be printed for your convenience.
The Patient Registration Form and the HIPAA Acknowledgement Form may be completed in advance and brought to the office for your first visit. This will save you time by not having to complete these forms while in the office.
Additional Forms
M–CHAT–Questionnaire for Autistic Spectrum Disorders – Download and complete this form before your child's 18 month and 24 month well child checkups.
ADHD Assessment Tools
- Vanderbilt Assessment Scale - PARENT Form
- Vanderbilt Assessment Follow Up - PARENT Form
- Vanderbilt Assessment Scale - TEACHER Form
- Vanderbilt Assessment Follow Up - TEACHER Form
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