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Available Forms

BF 4yr

Bright Futures Previsit Questionnaire 4 Year Visit

For us to provide your child with the best possible health care, we would like to know how things are going. Please answer all of the questions. Thank you.

What would you like to talk about today?

We are interested in answering your questions. Please check off the boxes for the topics you would like to discuss the most today.

Questions About Your Child

Tuberculosis

Lead

Anemia

Dyslipidemia

Your Growing and Developing Child

* Required field