Surveys and Questionnaires
Please download, print and complete the specific survey recommended at your child’s appointment. Once complete, please portal message them back, or drop them off to clinic, then set up a follow up appointment to go through them with your child’s primary care pediatrician.
Vanderbilt Scale
SCARED Questionnaire
GLAD-PC Survey
SCOFF Questionnaire
Trauma Scale
Patient Forms
The following PFD forms may be useful to you prior to your visits with us.
AIA Preparticipation Physical Evaluation
M-CHAT Developmental Questionnaire (for 18 mo and 30 mo visit)
Patient Consent for Use and Disclosure of Health Information
Authorization for Release of Medical Records
Child Development Handouts
Our well-child handouts are available in PDF format below. Please feel free to print them out if you have questions about age-related development. They are also viewable online. These handouts are available on your portal account prior to each appointment.
Office Resources
Policies and Forms
Telemedicine FAQs
Vaccine Policy
Email Newsletters
Health Resources
Symptom Checker
Immunizations
Dosing Guide
Handouts and Surveys
Books and Websites