Behavioral Health Document Downloads
Please complete the form(s) requested by your provider and submit them via MyChart.
If you are unable to upload the forms via MyChart please email the completed forms to BHteam@pedinw.org and also send a MyChart message letting us know that you submitted the forms through email.
FORM A. Behavioral Health Intake Form
FORM B. Vanderbilt – Parent
FORM C. Vanderbilt – Teacher
FORM D. Follow-Up Vanderbilt – Parent
FORM E. Follow-up Vanderbilt – Teacher
FORM F. SCARED – Child
FORM G. SCARED – Parent