Prepare for Child Wellness Visits

Before each wellness visit, please print and fill out the appropriate questionnaire below and bring it with you to the office. The doctor will review this information with you and your child. You will also find advice and milestone information for your child's age.

Questionnaire Milestones and Advice
New Patient Questionnaire
1-Week Newborn Questionnaire 1-Week Newborn Milestones and Advice
2-Week Questionnaire 1-2-Week Milestones and Advice
1-Month Questionnaire 1-Month Milestones and Advice
2-Month Questionnaire 2-Month Milestones and Advice
4-Month Questionnaire 4-Month Milestones and Advice
6-Month Questionnaire 6-Month Milestones and Advice
9-Month Questionnaire 9-Month Milestones and Advice
12-Month Questionnaire 12-Month Milestones and Advice
15-Month Questionnaire 15-Month Milestones and Advice
18-Month Questionnaire 18-Month Milestones and Advice
2-Year Questionnaire 2-Year Milestones and Advice
3-Year Questionnaire 3-Year Milestones and Advice
4-Year Questionnaire 4-Year Milestones and Advice
5-Year Questionnaire 5-Year Milestones and Advice
6-10-Year Questionnaire 6-10-Year Milestones and Advice
11-Year Questionnaire 11-12-Year Milestones and Advice
12-Year Questionnaire 11-12-Year Milestones and Advice
13-14-Year Questionnaire 13-14-Year Milestones and Advice
15-17-Year Questionnaire 15-17-Year Milestones and Advice
18-Year Questionnaire 18-21-Year Milestones and Advice
19-21-Year Questionnaire 18-21-Year Milestones and Advice
Postpartum Depression Questionnaire (EPDS)
Anxiety Questionnaire (GAD7)
Depression Questionnaire (ages 12 and older) (PHQ9)
ADHD Questionnaire for Parents
ADHD Follow-Up Questionnaire for Parents
ADHD Questionnaire for Teachers
ADHD Follow-Up Questionnaire for Teachers
Autism/Developmental Questionnaire (ages 18 months to 3 years) (MCHAT)