If you need to request school/camp forms for you child(ren), please fill out this form and fax or mail it to our office:
- SCARED
- MCHAT
- PHQ-9
- Vanderbilt – Parent
- Vanderbilt – Teacher
- Patient Communication Form – For patients age 18 and older, nannies, or grandparents to be able to access a patient’s health information.
- Parental Permission for Adolescent Care – For patients age 16 and older, who are coming without a parent to a well appointment.
Medical Records Request Forms
Dates of service before 2/2/2021:
Dates of service after 2/2/2021:
You may obtain a copy of your medical record created by and/or maintained by your Washington University Physicians provider by clicking here.