Behavioral Health Document Downloads
Please complete the form(s) requested by your provider and submit them via MyChart.
- Reply to the original MyChart message you received.
- Click blue button that says “Attach image or video”
- Upload all document you want to send in your reply
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 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