Highland Pediatrics
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Highland Pediatrics
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Office Paperwork

We've added some forms for you to download before your visit.  We hope this makes things a little easier for everyone!

Office Visit Downloads

These downloads include Well Visit information as well as questionnaires used at various visits.  Please complete prior to your visit.

Newborn Visit (pdf)Download
1 Month Visit (pdf)Download
2 Month Visit (pdf)Download
4 Month Visit (pdf)Download
6 Month Visit (pdf)Download
9 Month Visit (pdf)Download
1 Year Visit (pdf)Download
15 Month Visit (pdf)Download
18 Month Visit (pdf)Download
2 Year Visit (pdf)Download
3 Year Visit (pdf)Download
4 Year Visit (pdf)Download
5 Year Visit (pdf)Download
6 Year Visit (pdf)Download
7 Year Visit (pdf)Download

OFFICE VISIT DOWNLOADS

These downloads include Well Visit information as well as questionnaires used at various visits.  Please complete prior to your visit.

8 Year Visit (pdf)Download
9 Year visit (pdf)Download
10 Year Visit (pdf)Download
11 Year Visit (pdf)Download
12 Year Visit (pdf)Download
13 Year Visit (pdf)Download
14 Year Visit (pdf)Download
15 Year Visit (pdf)Download
16 Year Visit (pdf)Download
17 Year Visit (pdf)Download
18 Year Visit (pdf)Download
19-20-21 Year Visits (pdf)Download

Office FORM Downloads

To save you some time, here are some common forms that you can fill out before your visit.

ADD/ADHD-Parent (pdf)Download
ADD/ADHD-Teacher (pdf)Download
TSSAA-Sports (pdf)Download
Patient Information (pdf)Download
Demographics-Form (pdf)Download
HIPPA (pdf)Download
New Patient History (pdf)Download
Patient Information ADULT (pdf)Download
Medical Release FROM Highland (pdf)Download
Medical Release TO Highland (pdf)Download

HOURS

CHECK BACK AS HOURS MAY CHANGE


Office Visits by Appointment

9am-5pm Monday - Friday

8am-1pm on Saturday


Walk In Visits

8am-8:30am Monday - Friday


Night Clinic

CALL FOR AN APPOINTMENT

1pm-8pm

7 Days a Week


(423) 877-4591

For more updates, visit our Facebook page

Contact Us

Highland Pediatrics

Call Or Text

4519 Hixson Pike, Hixson, Tennessee 37343, United States

(423) 877-4591 Fax (423) 877-4225

Copyright © 2023 Highland Pediatrics - All Rights Reserved.