Spokane Pediatric Policies

• No Show/Late Cancellation

• 2023 Payment Policy

• HIPPA and Well Child Check Policy

 

New Patient Forms

• Release of Records

• Health History

• New Patient Forms

• Authorization for Non-Parent treatment of Minor

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School Forms

• Sports Physical

• Asthma Management 

• Severe Allergic Reaction Plan

• Digestive Disorder Health Care Plan

• Seizure Emergency Action Plan- No Medication

• Seizure Emergency Action Plan-Versed/Diastat

• Medication Request

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Screening Forms

• ADD/ADHD Vanderbilt Assessment Scale for Teachers

• ADD/ADHD Vanderbilt Assessment Scale for Parents

• ADD/ADHD Vanderbilt Follow-up for Teachers

• ADD/ADHD Vanderbilt Follow-up for Parents

• PHQ-9 Depression Screening

• GAD-7 Anxiety Screening

• SCARED Parent Version (for Anxiety)

• SCARED Child Version (for Anxiety)

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