Parent Resources and Office Policies

Parenting Help

Our Health Library information does not replace the advice of a doctor. Please be advised that this information is made available to assist our patients to learn more about their health. Our providers may not see and/or treat all topics found herein.

As parents, especially if this is your first child, you always have questions and concerns. Our For Parents section is here to try and help address some of the more common issues we are often asked as pediatricians.

Pediatric Health Library
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Online Resources

Forms & Policies

To view the forms listed below, you will need Adobe Reader. Please bring your completed forms with you to our office at the time of your visit.

Appointments

Many of our patient policies are completed electronically through our secure electronic medical record system, athenaOne. Forms are sent to you by text or email during the self check-in process and should be completed before your visit to help ensure a smooth and efficient appointment. Other commonly used forms and important documents are also available through the patient portal for your convenience.

In addition to these forms and policies, a few screeners commonly requested prior to an appointment can include:

• • Modified Checklist for Autism in Toddlers (MCHAT): We ask that families the MCHAT  screening tool to assess risk for Autism Spectrum Disorder (ASD) before the 18 and 24 month check-up appointment.
  • Behavioral Health Intake Form: We ask that you complete this form prior to your first appointment with a behavioral health therapist. A parent/guardian must be present at the initial intake, even for patients who can drive themselves to the appointment. For patients 5 years and younger, we request that only the parent(s) attend the intake without the child present.
  • Screen for Child Anxiety (Parent)
  • Screen for Child Anxiety (Child)
  • TB Screening Form
  • Ohio Lead Question

Medical Records

Many of our patient forms are available electronically through our secure electronic medical record system, athenaOne. Forms such as consent to treat minors, forms for patients turning 18 years of age (release of information and demographic updates), e-prescribing consents, permission to pick up prescriptions, our financial policy, and more can be sent directly to you by text or email.

Our medical records department can send these forms to you on demand at any time so you can complete them securely and conveniently to update your child’s record. Please call or text 513-232-8100 if you need a form sent to you.

Vaccination Records: If your child is up-to-date on their vaccines, you can quickly obtain a copy of their vaccination records through their patient portal.

• Records Release Authorization
• New Patient Registration Form
• Notice of Privacy Practices

Sports & School Forms

Various camps, sports associations, and schools require participation forms. Anderson Hills Pediatrics has an increased demand for forms to complete during summer. We always want this process to go smoothly for you and your family.

Forms can vary by school district and organization. We encourage you to confirm what forms are needed by your child’s school, daycare, athletic league, or camp.

If it has been less than 13 months since your child’s last check-up, we can complete the form based on their previous visit without additional appointments. However, the form will expire 13 months following your child’s last check-up.

To ensure the accuracy of the forms we complete, we request that the form’s parent or child portions be completed before submission. Also, please be sure to sign all fields.

Your child’s primary pediatrician will need to complete the form. If your primary care physician is out of the office, we will have to wait until they are back in the office to sign the form. The standard form turnaround is 3 to 4 business days to account for this. If you need a form completed more quickly, we will do so in 1 to 2 business days for $5.00.

Sports Forms

Ohio and Kentucky require a sports physical form to be on file with the school before the first practice.

• PREPARTICIPATION PHYSICAL EVALUATION | OHIO HIGH SCHOOL ATHLETIC ASSOCIATION | 2025-26
• Kentucky Athletic Participation Form Parental and Student Consent and Release For High School Level (grades 9-12) participation
• Kentucky Athletic Participation/Physical Examination Form Parental and Student Consent and Release For Middle School Level (students enrolled in grades 5-8 participating in competition for grades 6-8)

ADHD

• Vanderbilt Parent Follow-Up Form
• Vanderbilt Teacher Follow-Up Form

NOTE: Please do not fill out the Vanderbilt Teacher/Parent Follow-Up forms if your child has not been in for an Initial ADD/ADHD appointment.  You NEED to call the office and we will send you Initial Vanderbilt Forms to fill out.

Additional Forms