12 Year Physical - Male
A
TB RISK ASSESSMENT form needs to be completed.
A
NUTRITION QUESTIONNAIRE needs to be completed.
A
PSC QUESTIONNAIRE
needs to be completed only for patients
with MassHealth, BMC, or Children’s Medical Security Plan insurance. If your child
has any other type of health insurance, this form will not be needed.
Please click on the above links, print and complete the
forms, and bring them with you to the appointment.
The following immunization is usually given at this visit:
Please click on the above vaccine name to
learn more about the vaccine. You and your provider will decide if the above
immunization will be given at this visit. Most but not all health insurances
cover HPV (Gardasil) vaccine for boys. Please check with your health
insurance before the visit to verify that your health insurance covers this
vaccine.
Your provider will decide if any labwork 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.
