15 Year Physical - Male
A
TB RISK ASSESSMENT form needs to be completed.
A
NUTRITION QUESTIONNAIRE needs to be completed.
A
Y-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.
An
ADOLESCENT QUESTIONNAIRE needs to be completed.
Please click on the above links, print and complete the
forms, and bring them with you to the appointment.
Preferably, your child should complete the adolescent questionnaire himself.
Please click on the above links, print and complete the
forms, and bring them with you to the appointment.
No routine immunizations are needed at this visit. If any
immunizations were missed at any previous visit, catch-up immunizations might be given today.
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.