Brightstarforkids.com

% Bright Star For Kids Child And Adolescent Psychiatry Tennessee

WebBright Star Child and Adolescent Psychiatry 641 Morganton Square Drive Maryville, TN 37801-4763 Ph: (865) 724-1590 Fax: (865) 724-1591

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URL: https://brightstarforkids.com/

Bright Star for Kids Appointment for Psychiatric and Mental Health

WebBright Star Child and Adolescent Psychiatry 641 Morganton Square Drive Maryville, TN 37801-4763 Ph: (865) 724-1590 Fax: (865) 724-1591

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Dear Parent/Guardian, the information you provide by …

WebCHILD/TEEN REGISTRATION Dear Parent/Guardian, the information you provide by completing this form will help your provider identify your child’s needs. Please use …

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Patient name Date of birth Patient guardian signature Date

WebAuthorized Contact and Communication According to privacy laws, communications regarding your child’s health are restricted to those involved

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Medication Agreement

WebMedication Agreement As part of your child’s treatment, Bright Star Child & Adolescent Psychiatry’s licensed providers may prescribe medications for your child.

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Telemedicine Agreement

WebTelemedicine Agreement • I understand that my health care provider wishes me to engage in a telemedicine (video conference) appointment. • I understand the video conference …

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