Patient PortalPay Your BillSymptom Checker

Hours

Monday-Friday 8:00am - 4:30pm
Saturday 8:00am to 12:00pm Same day visits by appointment
Sunday CLOSED
Triage nurses are available when the clinic is closed by calling the clinic and following the prompts

Forms

Appointment Forms

ACT 4-11ACT 12 and upPHQ-APHQ-9 & GAD-7PHQ-9 SPANISHGAD-7 SPANISHASQ SPANISHPROMIS - Parent Proxy Anxiety SurveyPROMIS - Pediatric Anxiety SurveyPROMIS - Pediatric Anxiety SurveyPSC-17SCARED Short-parent versionSCARED Short-parent versionSCARED Short-child versionSCARED Long-child versionSCARED Long-parent versionSCARED Long-parent versionSMFQPatient Safety Form

Developmental Behavioral Forms - Dr. Flake

Developmental Behavioral

Flu Vaccine Clinic

Flu Vaccine Consent Form 2025-2026Flu Vaccine Information Statement 2025-2026Flu Vaccine Information Statement - Mist 2025-2026

MyChart

MyChart Proxy Access Agreement for Parent/Legal Guardian

Release Forms

Consent for Release of Medical Records

NICHQ Vanderbilt Assessment Forms

NICHQ Vanderbilt Assessment Form - ParentNICHQ Vanderbilt Assessment Follow-up - ParentNICQH Vanderbilt Assessment Form - TeacherNICHQ Vanderbilt Assessment Follow-up - Teacher

Misc