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    Office Policies and Consent to Treat

    New Patient Paperwork

    Pre-appointment Behavioral Questionnaire

    Release of Records TO Mt. Spokane Pediatrics

    Release of Records FROM Mt. Spokane Pediatrics

    Authorization for Consent to Treat a Minor

    Vanderbilt – Parent

    Vanderbilt – Teacher

    Allergy Testing Instructions

    NOTE: Please do not send these forms via email, as it is not HIPAA compliant. You are welcome to bring your paperwork directly to your appointment.

    Privacy Policy

    © 2026 Mt. Spokane Pediatrics. All Rights Reserved.

    Close Menu
    • Home
    • About
      • Providers – North
      • Providers – Valley
      • Staff
      • Collaborations
    • Services
      • Behavioral Evaluation & Treatment
      • Prenatal Interviews
      • Asthma and Allergies
      • Breastfeeding Support
      • Acute Appointments
    • Resources
    • Forms
    • FAQ
    • Contact
    • Blog
    • facebook
    • linkedin
    • instagram
    • phone
    • email