Mailing Address:
3328 Jenkins Rd, Suite 200
Chattanooga, TN 37421
Phone: (423) 825-4040
Fax: (423) 825-4043
Hours of Operation:
Monday - Friday
9:00am - 5:00pm
Sick Walk Ins:
8:30am - 9:00am
(Current Patients Only)
Emergency Sick:
(Saturday am by appointment only)
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Downloadable PDF Forms |
- Patient Registration Form
- Medical Release Form - COMING
- Medical Release Form - LEAVING
- HIPAA Policy
- Immunizations form
- Newborn Agreement
- NICHQ Assessment Scale for Parent
- NICHQ Assessment Scale for Parent Follow-up
- NICHQ Assessment Scale for Teacher
- NICHQ Assessment Scale for Teacher Follow-up
- NICHQ Assessment Scoring Instructions