Before Your Visit
Thanks for choosing Capital Area Pediatrics. Please take a moment and fill in necessary forms before your first visit to shorten the office visit.
- Welcome to Capital Area Pediatrics
- Patient registration packets:
- Form to authorize permission for treatment when accompanied by someone other than mom or dad or if minor is unaccompanied to a visit
- Health Appraisal Form
- Release of record sheet to request your records be sent to us from another physician
- Release of record sheet to send your records from us to another physician
- Sports Form (Please use Physical Card / Medical History Form)
- 9 month developmental questionnaire
- ADHD Screening Parent Initial
- ADHD Screening Teacher Initial
- ADHD Screening Follow up - Parent
- ADHD Screening Follow up - Teacher
- Screen for Child Anxiety Related Disorders (SCARED) - Child Version
- Screen for Child Anxiety Related Disorders (SCARED) - Parent Version
- PHQ-9 modified for Adolescents