11 Year Physical

TB RISK ASSESSMENT form needs to be completed.

A NUTRITION QUESTIONNAIRE needs to be completed.

A PSC QUESTIONNAIRE needs to be completed.

Please click on the above links, print and complete the forms, and bring them with you to the appointment.

The following immunizations are usually given at this visit:

Please click on each of the above vaccine names to learn more about each vaccine.

Your provider will decide if any or all of the above immunizations are needed at this visit.

Additional immunizations might also be recommended.

Your provider will decide if any lab work is needed.

Your provider will decide if a vision screen or hearing test is needed.

We will be discussing nutrition, school, and safety issues plus any other concerns that you have.