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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

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Recent Posts:

May 05

What Pediatricians Wish Parents Knew

Being a parent is hard work. Between school, soccer practice, and bedtime, it can feel like you are managing a million things. We see a lot of families, and here

Read more »
Apr 07

Understanding Autism

April is Autism Acceptance Month. Though it’s likely we all know someone who has this diagnosis, we don’t all know what it means. Autism spectrum disorders are characterized by repetitive

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
Closed

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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