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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

COVID-19 Vaccine Consent Form

COVID-19 Pfizer Vaccine Emergency Use Authorization Fact Sheet (12 years of age and older)

COVID-19 Pfizer Vaccine Emergency Use Authorization Fact Sheet (5 through 11 years of age)

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

 

       To request a health form, click here.

 

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 09

Keep Your Kids Safe in the Water This Summer

Spring will soon transition into summer, bringing summer vacation and the perfect opportunity for time in the pool, lake, or ocean. Water play often provides some of kids’ best summer

Read more »
Apr 25

Twists, Sprains, and Breaks: What to Do If Your Child Gets Hurt

Whether caused by a simple slip and fall in your backyard or a major wipe-out during a sports game, children are particularly vulnerable to sustaining all sorts of injuries. The

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: By appointment
9 a.m. – 5 p.m.

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

Sundays: Sick patients
by appointment
10:30 a.m. – 1:00 p.m.

Green Hills Pediatric Associates 4322 Harding Pike
Suite 229
Nashville, TN 37205

The 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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