Instructions for Completing New Patient Paperwork

If you or your child are 17 years old or under, please complete the paperwork labeled Child and Adolescent New Patient Paperwork. The Child and Adolescent packet includes business forms, medical history forms, questionnaires, Teacher Vanderbilt Initial Assessment Scale, and a Release of Information form. Please obtain the Teacher Vanderbilt form from your child’s teacher. If your child has more than one teacher, please obtain a total of three (3) forms from the following teachers: Math; English (Reading); Science and/or Social Studies. If your child has particular difficulty in a subject and has a tutor, please also ask the tutor to complete a Teacher Vanderbilt form. If you have any questions about completing the paperwork, please contact our office at 864-305-1662.

Child and Adolescent New Patient Paperwork

If you or your child are 18 years old or over, please complete the paperwork labeled Adult New Patient Paperwork. The adult packet includes business forms, medical history forms, and the Release of Information form. If you have any questions about completing the paperwork, please contact our office at 864-305-1662.

Adult New Patient Paperwork

Please remember that all health information is protected and private and answering honestly is very helpful and enables your doctor to provide the best possible medical care to you.

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