Patient Forms
Transfer Your Records To Thrive
For parents that wish to transfer their children’s care to Thrive Pediatrics, please download and complete the Records Authorization Form. Once completed, please submit the request form to the office where they are currently being seen.
Review Our Financial Policy
For any questions regarding anything financial, please feel free to call and speak with one of our receptionists or our billing department. Also for your convenience see Thrive’s Financial Policy.
Notice of Privacy HIPAA
To understand how your child’s medical information may be used and disclosed as well as how you can access this information, please review our Notice of Privacy HIPAA policy.
Patient Care
Here you will find a list of forms that our practice regularly uses. Review carefully as some of these patient forms apply specifically to patients, some to parents and some to other people involved in your child’s care such as teachers or other health care providers.
Vanderbilt – Parent – Initial – Spanish
Vanderbilt – Parent – Follow Up
Vanderbilt – Parent – Follow Up – Spanish
Vanderbilt – Teacher – Initial
Vanderbilt – Teacher – Initial – Spanish