» Patients should be escorted by ONE parent or guardian.

» If you do not have any COVID symptoms, please enter the building and check in with our staff to complete a symptom and exposure questionnaire.
» If you do have COVID symptoms, such as fever or shortness of breath, please do not enter our building and instead call (231) 737-0411 for more instructions.

Please call 911 or visit your nearest ER if you have a medical emergency or COVID symptoms.

Patient Forms

Office Forms

Questions? Call (231) 737-0411

Forms can be emailed, faxed, uploaded in MyChart, or printed and dropped off

[email protected]

Fax: (231) 739-8502

Please e-check in up to 2 days before all appointments at If your child is a new paitnet, or it is your annual visit please arrive 15 minutes before your appointment to complete and submit paperwork. If you would like to complete you paperwork ahead of time please fill out the forms here on our website and either email them to the email above, or bring them with you to your appointment. Thank you!


MyChart Instructions

NICHQ Vanderbilt Assessment

The NICHQ Vanderbilt Assessment Scales are used by healthcare professionals to help diagnose Attention Deficit Hyperactivity Disorder (ADHD) in children between the ages of 6 and 12 years. It is an effective tool that has been at the forefront of supporting children and families affected by ADHD.

Download and print out a Parent Form for each parent. The parents should complete the Parent Form individually.

The Teacher forms can be downloaded and printed for the child’s Teacher(s) to fill out.

To do the assessment, we must have completed forms from each parent and at least one teacher.

We apologize for the inconvenience, but our online bill payment service is currently down. Our team is working diligently to resolve the issue.

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