Skip to main content
Menu
Meet Dr. Shah
Conditions
New patients
Patient forms
Resources
Contact
Patient forms
Forms to download as PDF files.
Patient Registration Forms
Patient intake form (PDF, 296 KB)
Patient consent form (PDF, 302 KB)
Release of records (PDF, 222 KB)
Fees and missed appointments (PDF, 94 KB)
Seizure & ADHD forms
Seizure Action Plan, Epilepsy Foundation (PDF, 633 KB)
ADHD rating scale for parents, NICHQ Vanderbilt (PDF, 187 KB)
ADHD rating scale for teachers, NICHQ Vanderbilt (PDF, 188 KB)