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Our Village Pediatrics
Our Village Pediatrics
Home
Welcome
Biography
Location
Announcements
A Message from Dr. Hassel McNeil
New Patients
Vaccine Policy
Access Patient Portal
How to Access the Patient Portal
Cómo acceder al Portal del paciente
Updates
Vaccine Policy
Counseling Services
Parent Education
Forms
Contact
Our Village Pediatrics
Our Village Pediatrics
Home
Welcome
Biography
Location
Announcements
A Message from Dr. Hassel McNeil
New Patients
Vaccine Policy
Access Patient Portal
How to Access the Patient Portal
Cómo acceder al Portal del paciente
Updates
Vaccine Policy
Counseling Services
Parent Education
Forms
Contact
Home
Folder: About
Back
Welcome
Biography
Location
Announcements
Folder: New Patients
Back
A Message from Dr. Hassel McNeil
New Patients
Vaccine Policy
Folder: Patient Portal
Back
Access Patient Portal
How to Access the Patient Portal
Cómo acceder al Portal del paciente
Folder: Existing Patients
Back
Updates
Vaccine Policy
Counseling Services
Parent Education
Forms
Contact

Office Forms

  • Mental Health Medication Management Policy

  • HIPPA Release & Consent Form for 18yr+

  • Consent to Treat a Minor (For NON-Parent Caregiver)

  • Medical Records Release (for us to receive)

  • Outgoing Medical Record Release From (for us to send)

  • Policy for Children impacted by Divorce or Separation

Vanderbilt Assessment Scale

  • Vanderbilt Assessment Scale: Parent Form

  • Vanderbilt Assessment Scale: Parent Form (Spanish)

  • Vanderbilt Assessment Scale: Teacher Form


115 Academy Street, Suite 101, Canton, GA 30114 | 470.389.4970 (phone) | 470.401.1089 (fax) information@ourvillagepediatrics.com