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Patient Forms

Find everything you need to feel prepared for your first visit.

Child listening to a stethoscope while smiling with a healthcare provider during a playful checkup.

Patient Forms

Welcome Letter
Registration Form (English)
Registration Form (Español)
Advance Vaccine Consent
Medical Records Release Authorization
Notice of Privacy Practices
Measles Vaccination Policy
Preparticipation - Physical Evaluation
Preparticipation - Physical Evaluation (Español)
Office Policies

*School and sport forms will take 3–5 business days to complete, so please schedule your appointments accordingly.

 

Online Forms

Authorization to Release Medical Records
Advance Vaccine Consent KidsKare English
Notice of Privacy Practice
Measles Vaccination Policy
Sports Physical History Form
Evaluación Física
ADHD Assessment by Parent or Teacher
ADHD Followup Assessment by Parent or Teacher
Depression Screening
Asthma control test for children 4 to 11 years
Asthma control test for people 12 years and older

 

ADHD Evaluation Forms

Vanderbilt Assessment Scale Parent
Vanderbilt Assessment Scale Teacher

 

Join the Kids Kare Family

Getting care shouldn’t be complicated. Choose the time and location that work best for your family, and schedule your appointment in just a few clicks.

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Call: (931) 526-6173

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