16 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. A parent can complete the TB risk
questionnaire. Preferably,
your child should complete all the other questionnaires himself.
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 this
vaccine. Most but not all health insurances cover the second dose of the
meningococcal vaccine. 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.
