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Pediatric Forms and Resources

From routine checkups and immunizations to counseling your teen — much of your child's healthy development is up to you. As a parent, you can assist your child during these exciting, and sometimes challenging, times by using the following forms and handouts.

Questionnaires and Forms

Medical History and School Forms

  • State of California - Physician Report for Preschool & Daycare Centers (PDF)
  • State of California - Report of Health Exam for School Entry (K - 12) (PDF)
  • Child and Teen Medical History Form (PDF)
  • Sports Screening for Children (PDF)
  • Asthma School Form (PDF)
  • Food Allergy Action Plan

Developmental Questionnaires

  • Newborn (PDF)
  • 1 Month (PDF)
  • 2 Months (PDF)
  • 4 Months (PDF)
  • 6 Months (PDF)
  • 9 Months (PDF)
  • 12 Months (PDF)
  • 15 Months (PDF)
  • 18 Months (PDF)
  • 2 Years (PDF)
  • 3 Years (PDF)
  • 4 Years (PDF)
  • 5 Years (PDF)
  • 6 - 12 Years (PDF)
  • Teens (PDF)
  • Parent(s) of Teens (PDF)

Developmental Handouts

  • Newborn (PDF)
  • 2-4 Weeks (PDF)
  • 2 Months (PDF)
  • 4 Months (PDF)
  • 6 Months (PDF)
  • 9 Months (PDF)
  • 12 Months (PDF)
  • 15 Months (PDF)
  • 18 Months (PDF)
  • 24 Months (PDF)
  • 3 Years (PDF)
  • 4 Years (PDF)
  • 5 Years (PDF)
  • Your Kindergartener (PDF)
  • Your School-Age Child (PDF)
  • Your Teenager (PDF)

Other Resources

  • Calcium and Vitamin D
  • FamilyDoctor.org - American Academy of Family Physicians
  • HealthyChildren.org - American Academy of Pediatrics
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