Our Well Child visits are guided by recommendations from the American Academy of Pediatrics
The forms below are used for each Well Child Visit. You may print and complete the appropriate forms prior to the appointment. Please be sure to bring
the forms on the day of the appointment.
2 Months of Age Wellness Packet 2 Months of Age.pdf Adobe Acrobat document [281.9 KB]
4 Months of Age Wellness Packet 4 Months of Age.pdf Adobe Acrobat document [297.0 KB]
6 Months of Age Wellness Packet 6 Months of Age.pdf Adobe Acrobat document [332.8 KB]
9 Months of Age Wellness Packet 9 Months of Age.pdf Adobe Acrobat document [549.1 KB]
12 Months of Age Wellness Packet 12 Months of Age.pdf Adobe Acrobat document [300.4 KB]
15 Months of Age Wellness Packet 15 Months of Age.pdf Adobe Acrobat document [335.8 KB]
18 Months of Age Wellness Packet 18 Months of Age.pdf Adobe Acrobat document [338.1 KB]
M-CHAT for Autism Screening M-CHAT.pdf Adobe Acrobat document [58.7 KB]
Age 2 Wellness Packet 2 Years of Age.pdf Adobe Acrobat document [359.0 KB]
M-CHAT for Autism Screening **only if not completed for 18 months of age visit M-CHAT.pdf Adobe Acrobat document [58.7 KB]
Age 3 Wellness Packet 3 Years of Age.pdf Adobe Acrobat document [401.3 KB]
Age 4 Wellness Packet 4 Years of Age.pdf Adobe Acrobat document [343.5 KB]
Age 5 Wellness Packet 5 Years of Age.pdf Adobe Acrobat document [640.2 KB]