n our efforts to spend more time with you during your visit, we encourage you to please log into the Portal and complete the appropriate visit forms for your child prior to your arrival. If you are unable to do so, please arrive 20-30 minutes prior to your scheduled appointment time to fill out the electronic forms at the office: 1. All NEW patients, including newborns • “New Patient Intake” form plus additional forms as applicable below 2. All sick visits • “Pre-visit Updates” form only 3. Sport Physicals – This is for children who need a sport physical but have had a regular WCC within the last 12 months. If the child has NOT had a WCC within the last 12 months, they will need to complete the age appropriate WCC forms below • “Pre-visit Updates” form • Sports Physical form 4. Well Child Check- Ups Newborn well check • Well check Questionnaire • Newborn to age 1 Additional Questions 2 week • Well check Questionnaire • Newborn to age 1 Additional Questions 1 month • Well check questionnaire • Newborn to age 1 Additional Questions 2 month • Well check Questionnaire • Newborn to age 1 Additional Questions 4 month • Well check Questionnaire • Newborn to age 1 Additional Questions 6 month • Well check Questionnaire • Newborn to age 1 Additional Questions • Lead screen 9 month • Well check Questionnaire • Newborn to age 1 Additional Questions 12 month • Well check Questionnaire • Newborn to age 1 Additional Questions • Tuberculosis • Lead screen 15 month • Well check Questionnaire • 1 year to 19 year Additional Questions 18 month • Well check Questionnaire • 1 year to 19 year Additional Questions • MCHAT 2 year • Well check Questionnaire • 1 year to 19-year Additional Questions • Tuberculosis screen • Lead screen 2 ½ year (not always covered by insurance, please check with your insurance company) • Well check Questionnaire • 1 year to 19-year Additional Questions 3 year • Well check Questionnaire • 1 year to 19-year Additional Questions • Tuberculosis screen • Lead screen 4 year • Well check Questionnaire • 1 year to 19-year Additional Questions • Tuberculosis screen • Lead screen 5 year • Well check Questionnaire • 1 year to 19-year Additional Questions • Tuberculosis screen • Lead screen 6 year • Well check Questionnaire • 1 year to 19-year Additional Questions • Tuberculosis screen • Lead screen 7 year • Well check Questionnaire • 1year to 19-year Additional Questions • Tuberculosis screen 8 year • Well check Questionnaire • 1year to 19-year Additional Questions • Tuberculosis screen 9 year • Well check Questionnaire • 1 year to 19-year Additional Questions • Tuberculosis screen 10 year • Well check Questionnaire • 1 year to 19-year Additional Questions • Tuberculosis screen 11 year • Well check Questionnaire • 1 year to 19-year Additional Questions • Tuberculosis screen • Girls 11yr and up Additional Questions 12 year • Well check Questionnaire • 1 year to 19-year Additional Questions • Tuberculosis screen • Girls 11yr and up Additional Questions 13 year • Well child Questionnaire • 1 year to 19-year Additional Questions • Tuberculosis screen • Teen Questionnaire • Girls 11 year and up Additional Questions 14 year • Well child Questionnaire • 1 year to 19-year Additional Questions • Tuberculosis screen • Teen Questionnaire • Girls 11 year and up Additional Questions 15 year • Well child Questionnaire • 1 year to 19-year Additional Questions • Tuberculosis screen • Teen Questionnaire • Girls 11 year and up Additional Questions • NURSE TO ASK: PHQ2, Tobacco Control Questions and Audit C if Alcohol use + 16 year • Well child Questionnaire • 1 year to 19-year Additional Questions • Tuberculosis screen • Teen Questionnaire • Girls 11 year and up Additional Questions 17 year • Well child Questionnaire • 1 year to 19-year Additional Questions • Tuberculosis screen • Teen Questionnaire • Girls 11 year and up Additional Questions 18 year • Well child Questionnaire • 1 year to 19-year Additional Questions • Tuberculosis screen • Teen Questionnaire • Girls 11 year and up Additional Questions