HHP.

At Happy & Healthy Pediatrics, we value your time. To streamline your visit and minimize your wait time, we've made our patient forms available for download right here on our website. You can fill out these forms at your convenience before your appointment. By completing the necessary paperwork in advance, you can save time during the check-in process and help us serve you more efficiently. Simply download the forms, fill them out, and bring them with you to your child's appointment. If you have any questions while filling out the forms, please don't hesitate to contact our office.

Please fill out these forms prior to your first visit to our office

• Patient Intake Form
• Payment & Referral Policies
• Patient Privacy & Protected Infromation Policy

Please fill out these forms prior to your child’s physical (Well Child Checkup)

Each age group has its own set of forms, so please choose the forms based on your child's age

Newborn to Age 1

• 1 week WCC: EPDS Form (english or spanish)
• 2 week WCC: EPDS Form (english or spanish)
• 1 month WCC: EPDS Form (english or spanish)
• 2 month WCC: EPDS Form (english or spanish) and 2mo ASQ
• 4 month WCC: EPDS Form (english or spanish) and 4mo ASQ
• 6 month WCC: EPDS Form (english or spanish) and 6mo ASQ
• 9 month WCC: EPDS Form (english or spanish) and 9mo ASQ
• 12 month WCC: EPDS Form (english or spanish) and 12mo ASQ (Happy Birthday!)

Ages 15 Month to 2.5 Years

• 15 month WCC: 15mo ASQ
• 18 month WCC: 18mo ASQ and MCHAT Form
• 2 year WCC: 24 mo ASQ and MCHAT Form
• 2.5 yr WCC: 30 mo ASQ and MCHAT Form

Age 3 Years to 5 Years

• 3 yr WCC: 36 mo ASQ
• 4 yr WCC: 48 mo ASQ
• 5 yr WCC: 60 mo ASQ

Ages 6 Years to 11 Years

• PSC

Ages 12 Years to 21 Years

• PHQ-9