Before Your Well Care Visit

Well care visits are an important way to keep your child or adolescent healthy. These visits are also a great opportunity to discuss any questions or concerns that you may have. To make the most of our time together, please review the information for your child’s age before your well child/adolescent care visit. Thanks!

To make the most of our time together, please remember to:

Parent Questionnaire: print a copy, fill it out and bring it to the well care visit.
Parent Checkup Information: read the information and write down any questions you would like to discuss.
Immunization Records: bring to the visit so we can update them.

Infancy: 0 to 11 Months

If your child is 0 to 7 days old, open the following two documents:

Birth to 1 Week – Well Check Health Questionnaire [English/Spanish]: (Please print, fill out and bring to the well care visit)

Birth to 1 Week – Checkup Information Sheet: (Read and write down any questions you have)

If your child is 2 to 6 weeks old, open the following two documents:

2 to 4 Week – Well Check Health Questionnaire [English/Spanish]: (Please print, fill out and bring to the well care visit)

2 to 4 Week – Checkup Information Sheet: (Read and write down any questions you have)

If your child is 1 1/2 to 3 months old, open the following two documents:

2 Month – Well Check Health Questionnaire [English/Spanish]: (Please print, fill out and bring to the well care visit)

2 Month – Checkup Information Sheet: (Read and write down any questions you have)

If your child is 4 to 5 months old, open the following two documents:

4 Month – Well Check Health Questionnaire [English/Spanish]: (Please print, fill out and bring to the well care visit)

4 Month – Checkup Information Sheet: (Read and write down any questions you have)

If your child is 6 to 8 months old, open the following two documents:

6 Month – Well Check Health Questionnaire [English/Spanish]: (Please print, fill out and bring to the well care visit)

6 Month – Checkup Information Sheet: (Read and write down any questions you have)

If your child is 9 to 11 months old, open the following two documents:

9 to 10 Month – Well Check Health Questionnaire [English/Spanish]: (Please print, fill out and bring to the well care visit)

9 to 10 Month – Checkup Information Sheet: (Read and write down any questions you have)

Early Childhood: 1 to 5 Years

If your child is 12 to 13 months old, open the following two documents:

12 Month – Well Check Health Questionnaire [English/Spanish]: (Please print, fill out and bring to the well care visit)

12 Month – Checkup Information Sheet: (Read and write down any questions you have)

If your child is 14 to 16 months old, open the following two documents:

14 to 15 Month – Well Check Health Questionnaire [English/Spanish]: (Please print, fill out and bring to the well care visit)

14 to 15 Month – Checkup Information Sheet:(Read and write down any questions you have)

If your child is 17 to 20 months old, open the following two documents:

18 Month – Well Check Health Questionnaire [English/Spanish]: (Please print, fill out and bring to the well care visit)

18 Month – Checkup Information Sheet: (Read and write down any questions you have)

If your child is 21 months to 2 1/2 years old, open the following two documents:

21 to 24 Month – Well Check Health Questionnaire [English/Spanish]: (Please print, fill out and bring to the well care visit)

21 to 24 Month – Checkup Information Sheet: (Read and write down any questions you have)

If your child is 2 1/2 to 3 years old, open the following two documents:

3 Year – Well Check Health Questionnaire [English/Spanish]: (Please print, fill out and bring to the well care visit)

3 Year – Checkup Information Sheet: (Read and write down any questions you have)

If your child is 4 years old, open the following two documents:

4 to 5 Year – Well Check Health Questionnaire [English/Spanish]: (Please print, fill out and bring to the well care visit)

4 to 5 Year – Checkup Information Sheet: (Read and write down any questions you have)

If your child is 5 to 6 years old, open the following two documents:

5 to 6 Year – Well Check Health Questionnaire [English/Spanish]: (Please print, fill out and bring to the well care visit)

5 to 6 Year – Checkup Information Sheet: (Read and write down any questions you have)

Middle Childhood: 6 to 12 Years

If your child is 5 to 6 years old, open the following two documents:

5 to 6 Year – Well Check Health Questionnaire [English/Spanish]: (Please print, fill out and bring to the well care visit)

5 to 6 Year – Checkup Information Sheet: (Read and write down any questions you have)

If your child is 7 to 8 years old, open the following two documents:

6 to 8 Year – Well Check Health Questionnaire [English/Spanish]: (Please print, fill out and bring to the well care visit)

6 to 8 Year – Checkup Information Sheet: (Read and write down any questions you have)

If your child is 9 to 10 years old, open the following two documents:

8 to 10 Year – Well Check Health Questionnaire [English/Spanish]: (Please print, fill out and bring to the well care visit)

8 to 10 Year – Checkup Information Sheet: (Read and write down any questions you have)

If your child is 11 to 12 years old, open the following two documents:

10 to 12 Year – Well Check Health Questionnaire [English/Spanish]: (Please print, fill out and bring to the well care visit)

10 to 12 Year – Checkup Information Sheet: (Read and write down any questions you have)

Teens: 13 to 18 Years

Information for Teens

Teen Questionnaire – 13 to 18 Years Old (Please print, fill out and bring to the well care visit)

Teen Checkup Information Sheet: (Read and write down any questions you have)

Sports Checkup Information

Athletic Screening Exam

Better Sports Performance

Information for Parents of Teens

Parent Questionnaire [English/Chinese]: (Please print, fill out and bring to the teen well care visit)

Before Your Well Care Visit

Information for Teens

Sports Checkup Information

Information for Parents of Teens

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