Standard policies and forms that we use here in the office

New Patient Application

Patient Rights and Responsibilities

Patient and Visitor Behavior Policy

Communication and Follow-up Policy

Refill Request

Text Message/Email Reminder Consent

Telehealth Consent

Medical Release Forms

Printable Request

Electronic Request to ENC Peds from another organization

Electronic Request from ENC Peds to another organization

Common Patient Questionnaires used in the office

GAD-7 (Generalized Anxiety Disorder-7) – anxiety screening questionnaire

PHQ-9 (Patient Health Questionaire-9) – depression screening questionnaire

EPDS (Edinburgh Postnatal Depression Scale) – postpartum depression screening questionnaire

Vanderbilt – Initial Parent Questionnaire – initial screening for ADHD and associated behaviors – Parent Version

Vanderbilt – Initial Teacher Questionnaire – initial screening for ADHD and associated behaviors – Teacher Version

Vanderbilt – Follow-up Parent Questionnaire – symptoms monitoring for those with ADHD – Parent Version

Vanderbilt – Follow-up Teacher Questionnaire – symptoms monitoring for those with ADHD – Teacher Version

School Authorizations and Action Plans

NC School Physical Form

Sports Physical Form

Asthma Action Plan

Allergy & Anaphylaxis Plan

Seizure Action Plan