OFHC Pediatric Forms

Please download and fill out the Pediatric Health Questionnaire.  Please bring in the form with you at your first appointment with the pediatrician. For the ADHD and ANXIETY forms, please drop off the forms to the clinic BEFORE your appointment.

OFHC Pediatric Health Questionnaire

ANXIETY-PACKAGE-CHILD 0-11 Years

ENGLISH-CHILD-PACKAGE-ADHD-AGES 0-11 Years

ENGLISH-CHILD-CARE-PACKAGE-AGES 12-18

FRRENCH-ADHD-CHILD-PACKAGE 0-11 Years

FRENCH-CHILD-PACKAGE 12-18 Years