Pediatric Handouts and Forms
New Patients (excluding newborns)
New Patient History Form English
New Patient HIstory Form Spanish
Patient Demographic Form English (not currently available)
Patient Demographic Form Spanish
Communication Authorization English
Communication Authorization Spanish (not currently available)
Release of Information (to obtain records)
Newborn
Newborn History Form English
Newborn HIstory Form Spanish
Patient Demographic Form English (not currently available)
Patient Demographic Form Spanish
Communication Authorization English
Communication Authorization Spanish (not currently available)
First Week Visit Handout
Welcome to the World of Parenting Handout
Breastfeeding - Is Baby Getting Enough?
Prevention of Sleep Problems
Newborn Rashes and Skin Care
Prevent Shaken Baby Syndrome
Dangers of Second Hand Smoke
Learn CPR
Developmental Milestones/Language Skills
Release of Information (to obtain records)
2 Weeks
Breastfeeding - Is Baby Getting Enough?
Prevention of Sleep Problems
Newborn Rashes and Skin Care
Prevent Shaken Baby Syndrome
Dangers of Second Hand Smoke
1 Month
1 Month Visit Handout
Breastfeeding - Is Baby Getting Enough?
Prevent Shaken Baby Syndrome
Dangers of Second Hand Smoke
Developmental Milestones/Language Skills
Resource Page
Edinburg Postpartum Depression Questionnaire
6 Months
6 Month Visit Handout
Reading Rockets Handout
Where are the Poisons in Your Home?
Healthy Eating at Home Matters!
Tylenol/Ibuprofen Dosing Chart
After the Shots....
Resource Page
9 Months
9 Month Visit Handout
How Can I Begin Setting Limits for my Child?
9 Month Ages & Stages Questionnaire English
9 Month Ages & Stages Questionnaire Spanish
Resource Page
12 Months
12 Month Visit Handout
Tylenol/Ibuprofen Dosing Chart
After the Shots....
Dangers of Second Hand Smoke
Resource Page
15 Months
15 Month Visit Handout
Ten Tips for Managing Temper Tantrums
Surviving the Toddler Years
Tylenol/Ibuprofen Dosing Chart
After the Shots....
Resource Page
18 Months
18 Month Visit Handout
Is my Child Ready for Toilet Training?
Tylenol/Ibuprofen Dosing Chart
After the Shots....
Autism Questionnaire (M-CHAT) - English
Autism Questionnaire (M-CHAT) - Spanish
18 Months Ages & Stages Questionnaire - English
18 Months Ages & Stages Questionnaire - Spanish
Resource Page
24 Months
2 Year Visit Handout
Is my Child Ready for Toilet Training?
Autism Questionnaire (M-CHAT) - English
Autism Questionnaire (M-CHAT) - Spanish
Dangers of Second Hand Smoke
Resource Page
2.5 Years
2 1/2 Year Visit Handout
Is my Child Ready for Toilet Training?
30 Months Ages & Stages Questionnaire - English
30 Months Ages & Stages Questionnaire - Spanish
Resource Page
3 Years
3 Year Visit Handout
Young Children Learn A Lot When They Play
Dangers of Second Hand Smoke
Resource Page
4 Years
4 Year Visit Handout
Growing Independence: Tips for Parents of Young Children
Dangers of Second Hand Smoke
Tylenol/Ibuprofen Dosing Chart
After the Shots....
Resource Page
5 Years
5 Year Visit Handout
Healthy Communication with Your Child
Dangers of Second Hand Smoke
Resource Page
7 Years
7 Year Visit Parent Handout
Understanding the Impact of Media on Children & Teens
Dangers of Second Hand Smoke
Resource Page
8 Years
8 Year Visit Parent Handout
Bullying: It's Not Ok
Dangers of Second Hand Smoke
Resource Page
9-10 Years
9-10 Year Visit Parent Handout
Your NetSmartz
Parents' Guide to Smart Phone Safety
Puberty for Girls
Puberty for Boys
Resource Page
Early Adolescents (11-14 Years)
Early Adolescent Visit Parent Handout
What the Heck is an E-Cigarette?!
Expect Respect: Healthy Relationships
Sexting/Netsmartz
Resource Page