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10 Years Old

Pre-Visit Questionnaires

Please complete the following forms before the visit and upload to the portal as able.

Vaccinations for this visit

○ Seasonal Influenza Vaccine

Potential School Forms

Your child may require a school health form be completed by your provider if entering a new school or your child has a chronic medical condition, food allergy, asthma or need to take medication at school.

Additional Screenings at this visit

The following testing will be completed at the 10 year old check up.

Hearing Test
Vision Test