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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 Pfizer Vaccine Consent Form

COVID-19 Moderna 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)

COVID-19 Moderna Vaccine Emergency Use Authorization Fact Sheet (6 months through 4 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

 

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

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Recent Posts:

Jan 03

Four Reasons to Stay Active During the Winter Months

With the change to the winter season comes some of the most beautiful scenery the region provides. However, with fewer daylight hours and unpleasant weather conditions, winter can make it

Read more »
Dec 19

Healthy New Year’s Resolutions for Kids

The start of a new year is always a time when people make resolutions to be healthier. This year, consider making some healthy resolutions as a family. Sit down with

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:  Acute illnesses or injuries only
Walk-in
11:30 a.m. – 1:00 pm

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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