Forms

Please print the appropriate forms and
bring the completed forms with you to
your next scheduled appointment.

General Office Forms
New Patient Packet
Newborn Packet
Patient Information Update
Records Release Form

ADD/ADHD Assessment

Please be patient as these can be slow to load

Initial ADHD Evaluation (parent & teacher forms)
Follow-up ADHD Visit
ADHD other information
ADHD Educational Rights

Well Child Exam Developmental Screening

Print & complete these screenings and bring them in for your child’s
well child exam. Please be patient as these are slow to load.

4 Month Questionnaire
6 Month Questionnaire
12 Month Questionnaire
18 Month Questionnaire
2 Year Questionnaire
3 Year Questionnaire
4 Year Questionnaire
5 Year Questionnaire

Vaccine Information

We STRONGLY recommended that you
FULLY immunize your child.
We are open to staggering vaccinations and will be happy to discuss a plan for your child.

Oceanside Pediatrics Vaccination Schedule
Baby’s First Immunizations
Catch Up Vaccination Schedule
Understanding the risks if you choose NOT to vaccinate
Understanding Vaccine Safety

Dipththeria, Tetanus & Pertussis (DTaP) infant
Tetanus, Diphtheria, Perutssis (Tdap) age 12yr
Hepatitis A
Hepatitis B
HIB
Polio
Prevnar
Measle, Mumps, Rubella (MMR)
Rotavirus
Meningococcal
Chickenpox (Varicella)
HPV
Seasonal Flu – Flu shot, Flumist (nasal)