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(615) 385-1451
4322 Harding Pike Suite 229 Nashville TN 37205
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Patient Forms

Need to send us a form? Please visit our Secure Form Upload page.

Asthma Control Test 4  to 11 years

Asthma Control Test 12 years and older

Authorization to release records from GHPA

Authorization to release records to GHPA

Billing & Insurance

Consent to treat 18 years and older

Consent to Treatment of a Minor When Parents/Guardians are Temporarily Unavailable

Covid-19 Vaccine Consent

Dosage Charts

Edinburgh Postnatal Depression Scale (EPDS)

Emergencies

Family Information Form

General Anxiety Disorder Screener (GAD-7)

GHPA New Patient Questionnaire

M-CHAT-R

Parking Brochure

Patient Health Questionnaire (PHQ-2 and PHQ-9)

Suggested Schedule for Well Child Visits

TSSAA Participation Form

Vanderbilt NICHQ – Parent

Vanderbilt NICHQ – Teacher

What to Expect at Your Visit

 

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If you have any questions or need more information, please call us at (615) 385-1451.

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Blog

  • Ear Infection
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Recent Posts:

Sep 21

It’s Flu Season: Here’s Why It’s Important to Get Your Flu Shot Now

Back to school season brings fall foliage, crisp air, and new opportunities. Unfortunately, it also brings opportunities for the flu. Being surrounded by hundreds of other kids means your children

Read more »
Sep 14

Protecting Your Children From Concussions

Fall sports are right around the corner. Some of our patients will be participating in football, volleyball, baseball, soccer, and hockey. All these activities are fun and exciting, but they

Read more »

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Phone Numbers

Office
615-385-1451
After Hours
615-385-1451

Business Office
615-385-3443
Office Fax
615-298-4257

Office Hours

Monday – Friday
9 a.m. – 5 p.m. by appointment

Saturdays
Sick patients
9 a.m. – 11:00 a.m. by appointment

Sundays
Acute illnesses and injuries only
11:30 a.m. – 1:00 p.m., walk-in

Green Hills Pediatric Associates 4322 Harding Pike
Suite 229
Nashville, TN 37205The information and content on our website should not be used as a substitute for medical treatment or advice from your doctor.

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