12 Month Physical

NUTRITION QUESTIONNAIRE needs to be completed.
A LEAD SCREEN form needs to be completed.

A TB RISK ASSESSMENT form 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.

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

The office recommends to bring a personal item from home for comfort.  This item could be a teddy bear, doll or blanket to help child with examination.