Longwood Pediatrics | Forms and Policies

Behavioral Health: Self-Guilded Management Tools

• Guided Self-Management Tools for Disruptive Behavior - Parents of Children 3-12
• Guided Self-Management Coping Skills During Covid-19 and Beyond
• Guided Self-Management Tools for ADHD - Children 6-12
• Guided Self-Management Tools for ADHD - Teens 13-16
• Guided Self-Management Tools for ADHD - Parents of Teens 13-16
• Guided Self-Management Tools for Anxiety - Children 6-12
• Guided Self-Management Tools for Anxiety - Teens 13-17
• Guided Self-Management Tools for Anxiety - Parents of Teens 13-17
• Guided Self-Management Tools for Depression - Children 6-12
• Guided Self-Management Tools for Depression - Teens 13-17
• Guided Self-Management Tools for Depression - Parents of Teens 13-17

Health & wellness

• NICHQ Vanderbilt Assessment
  • Parent Initial
  • Parent Follow Up
  • Teacher Initial
  • Teacher Follow Up
• ACT (Asthma Control Test)
  • 4-11 year old children
  • 12 years and older
• 48 Hour Dietary Recall
• Therapist referrals

Medical records and billing

• 2021 billing update
• Authorization to receive medical records from another practice
• Authorization for disclosure of protected health information
• Adolescent confidentiality handout

Important policies

• Financial policy
• HIPPA/privacy policy
• Patient bill of rights
• Insurances accepted and not accepted