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:
English
Spanish (Teacher Form)
Spanish (Parent Form)
SCARED Questionnaire:
English
Spanish (Child Form)
Spanish (Parent Form)
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
Development Handouts
For Infants, Children, Adolescents and Young Adults
Our development 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.
Parent Handouts
7 – 21 Years
7 – 8 Year Visits – Parent
9 – 10 Year Visits – Parent
11 – 14 Year Visits – Parent
15 – 17 Year Visits – Parent