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  • EDUCATION
    • Behavior
    • Breastfeeding
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  • HOME
  • ABOUT
    • About Us
    • Insurances Accepted
    • Contact Us
    • Directions to Our Office
  • AVAILABILITY
  • SERVICES
    • Well Child Care
    • Same Day Sick Visits
    • Breastfeeding Support
    • Nutrition Support
    • Asthma Management
    • Care Coordination
    • ADHD
    • Anxiety and Depression
    • Concussion
  • EDUCATION
    • Behavior
    • Breastfeeding
    • Emergencies
    • Growth and Development
    • Medical Conditions
    • Newborns
    • Nutrition
    • Parenting
    • Safety
    • Special Needs
    • Sports & Exercise
    • Teens
  • PATIENT PORTAL
  • DOWNLOAD FORMS
  • POST ARCHIVE
  • FACEBOOK
  • HOME
  • ABOUT
    • About Us
    • Insurances Accepted
    • Contact Us
    • Directions to Our Office
  • AVAILABILITY
  • SERVICES
    • Well Child Care
    • Same Day Sick Visits
    • Breastfeeding Support
    • Nutrition Support
    • Asthma Management
    • Care Coordination
    • ADHD
    • Anxiety and Depression
    • Concussion
  • EDUCATION
    • Behavior
    • Breastfeeding
    • Emergencies
    • Growth and Development
    • Medical Conditions
    • Newborns
    • Nutrition
    • Parenting
    • Safety
    • Special Needs
    • Sports & Exercise
    • Teens
  • PATIENT PORTAL
  • DOWNLOAD FORMS
  • POST ARCHIVE
  • FACEBOOK

Download FormsPeds First2020-11-05T13:15:01+00:00

Download Forms

Administrative Handouts

Medical Record Release Form

Personal Representative Authorization For Medical Release Form

ADHD Assessments

Vanderbilt Assessment Parent Informant (Initial)

Vanderbilt Assessment Parent Informant (Follow Up)

Vanderbilt Assessment Teacher Informant (Initial)

Vanderbilt Assessment Teacher Informant (Follow Up)

Mental Health Screening

Edinburgh Postnatal Depression Scale

Pediatric Symptom Checklist (PSC-17)

Patient Health Questionnaire-9 (PHQ-9)

Screen for Child Anxiety Related Disorders (SCARED) – Child Version

Screen for Child Anxiety Related Disorders (SCARED) – Parent Version

Developmental Screenings

M-CHAT-R

Survey of Well-Being of Young Children (SWYC): 2 Months

Survey of Well-Being of Young Children (SWYC): 4 Months

Survey of Well-Being of Young Children (SWYC): 6 Months

Survey of Well-Being of Young Children (SWYC): 9 Months

Survey of Well-Being of Young Children (SWYC): 12 Months

Survey of Well-Being of Young Children (SWYC): 15 Months

Survey of Well-Being of Young Children (SWYC): 18 Months

Survey of Well-Being of Young Children (SWYC): 24 Months

Survey of Well-Being of Young Children (SWYC): 30 Months

Survey of Well-Being of Young Children (SWYC): 36 Months

Survey of Well-Being of Young Children (SWYC): 48 Months

Survey of Well-Being of Young Children (SWYC): 60 Months

CONTACT INFORMATION

2799 Route 112, Medford, NY 11763
(631) 732-5222
(631) 732-6222

HOURS OF OPERATION

Monday – Thursday: 8:30am – 6:00pm
Friday: 8:30am – 6:00pm
Weekends: 8:30am – 11:00am
© Copyright 2019 -    |   Peds First Pediatrics   |   2799 Route 112, Medford, NY 11763   |   (631) 732-5222
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