Step 4 


Due to HIPAA requirements we are required to have each patient accompanied by a parent or legal guardian unless the parent has listed any other individual on initial paperwork. If your child is accompanied by a listed person from paperwork, he or she must present picture ID. 

  • Scheduling: You can schedule appointments by calling our office or submitting a request on our website along with the date and time that works best for you. However, online scheduling is only for Well checks. Urgent appointments we ask that you please call our office directly. 
  • Rescheduling and Cancellations: In order to reschedule or cancel an appointment, please do so at least 24 hours before appointment time for well exams/physicals, ADHD and follow up appointments. We want to give all patients and opportunity to make an appointment if needed. If you are more than 10 minutes  late for an appointment is may have to be rescheduled ( exceptions may be made for sick children   a case by case basis).
  • No  Shows: If you fail to show for an appointment that has been scheduled, it is considered a NO SHOW. Our office does not tolerate NO SHOW’s, we have the right to terminate you from our office. 
  • Well Checkups and Physicals: All patients scheduled for a physical/well checkup should have a parent or legal guardian accompany the child so that the doctor or nurse practitioner can give your child the best possible care. We can only see two siblings at one given appointment time a day for well checkups/physicals. 

The providers at Rainbow Kids Clinic believe in the safety and efficacy of all routine vaccinations. We require full participation in obtaining required vaccinations on schedule. By signing below you agree to discuss your questions or concerns with a provider today if you have any hesitation regarding vaccinations. Exceptions will be made on a case by case basis ONLY for existing families. A parent or legal guardian must be present to sign for vaccinations before they can be given. 

Parents must watch their children in the waiting area.  Please do not allow children to run or climb on the furniture.  Children cannot be left alone in the waiting area or exam rooms.  Children over the age of 13 can be seen in exam room without a parent IF they can answer history questions and relay information, but we ask that a parent be available in the lobby or by phone.  Children must also be kept off the rolling stool in the exam rooms.  Children are not to be left unattended on exam tables.  Du to HIPAA requirements , we cannot allow parent or patients to walk outside the exam rooms prior to the doctor or nurse practitioner entering the room.  Please remain in the exam room with the door closed until the doctor or nurse practitioner has completed the examination of your child.

Requests for refills, forms for school, daycare or WIC can be submitted by teleph

111 Otis Smith Drive, Clarksville, Tennessee 37043 ♦ Phone: 931-553-6666 ♦ Fax 931.553.6681 ♦ Email: info@rainbowkidsclinic.com