FORMS

New Patient Info/Clinical Forms (James)

Follow-up Patient Clinical Form (James)

authorization_form_to_release_or_obtain_your_medical_records__james_.pdf

hipaa_notice_of_privacy_practices__lecuyer_and_james_.pdf

_new__patient_information_form__lecuyer_.pdf

​new_patient_clinical__information_forms__lecuyer_.pdf

authorization_form_to_release_or_obtain_your_medical_records__lecuyer_.pdf

Vanderbilt Child ADHD Parent Form

Vanderbilt Child ADHD Teacher Form

llc--jl--medicare_contract_p_1of3.pdf

​llc--jl--medicare_contract_p_2of3.pdf

​llc--jl--medicare_contract_p_3of3.pdf