Next Step Pediatrics launched a new software program that will require new registration information for all patients. Please review and print and the following documents and bring the completed forms when you arrive for your visit. Otherwise, we recommend you arrive 15 minutes early for your appointment to complete the paperwork:
- Registration Form [Secure Online Version]
- Office Policies and Procedures
- HIPAA Notice of Privacy
- Record Release to Another Office
- Record Release to Next Step Pediatrics
- COVID Pre-Vaccination Survey
- ASQs
Additional Forms
- Asthma Test
- Adult ADHD Self Assessment
- Vanderbilt Child ADHD Assessment - Teacher Form
- Vanderbilt Child ADHD Assessment - Parent Form
- Depression Screen
- Screen for Child Anxiety Related Disorders (SCARED) Form
- Ages and Stages Questionnaire -9 Months
- Ages and Stages + M-Chat-R Questionnaires -18 Months
- Ages and Stages + M-Chat-R Questionnaires - 24 Months
- M-Chat-R Form for Ages 18 and 24 Months
- Vanderbilt ADHD Assessment Packet
- Vanderbilt Anxiety/Depression Assessment Packet
- 18+ Form
- Anxiety/Depression Medication Monitoring
- ADD/ADHD Medication Monitoring
In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.