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Express Pediatric Care

(864) 551-2422

(864) 551-2424

Well Check Appointments

2 Month Visit

  1. Pre-Visit Questionnaire
  2. Immunization Records Form [English] [Spanish]
  3. Eligibility Screening Form [English] [Spanish]
  4. Parent Handout [English] [Spanish]

4 Month Visit


  1. Pre-Visit Questionnaire
  2. Immunization Records Form [English] [Spanish]
  3. Eligibility Screening Form [English] [Spanish]
  4. Parent Handout [English] [Spanish]

6 Month Visit

  1. Pre-Visit Questionnaire
  2. Immunization Records Form [English] [Spanish]
  3. Eligibility Screening Form [English] [Spanish]
  4. Parent Handout [English] [Spanish]

9 Month Visit


  1. Pre-Visit Questionnaire
  2. Immunization Records Form [English] [Spanish]
  3. Eligibility Screening Form [English] [Spanish]
  4. Parent Handout [English] [Spanish]

12 Month Visit


  1. Pre-Visit Questionnaire
  2. Immunization Records Form [English] [Spanish]
  3. Eligibility Screening Form [English] [Spanish]
  4. Parent Handout [English] [Spanish]

15 Month Visit


  1. Pre-Visit Questionnaire
  2. Immunization Records Form [English] [Spanish]
  3. Eligibility Screening Form [English] [Spanish]
  4. Parent Handout [English] [Spanish]

18 Month Visit


  1. Pre-Visit Questionnaire
  2. Immunization Records Form [English] [Spanish]
  3. Eligibility Screening Form [English] [Spanish]
  4. MCAT [English] [Spanish]
  5. Parent Handout [English] [Spanish]

2 Year Visit


  1. Pre-Visit Questionnaire
  2. Immunization Records Form [English] [Spanish]
  3. Eligibility Screening Form [English] [Spanish]
  4. MCAT [English] [Spanish]
  5. Parent Handout [English] [Spanish]

3 Year Visit


  1. Pre-Visit Questionnaire
  2. Immunization Records Form [English] [Spanish]
  3. Eligibility Screening Form [English] [Spanish]
  4. MCAT [English] [Spanish]
  5. Parent Handout [English] [Spanish]

4 Year Visit


  1. Pre-Visit Questionnaire
  2. Immunization Records Form [English] [Spanish]
  3. Eligibility Screening Form [English] [Spanish]
  4. Parent Handout [English] [Spanish]

5 Year Visit


  1. Pre-Visit Questionnaire
  2. Immunization Records Form [English] [Spanish]
  3. Eligibility Screening Form [English] [Spanish]
  4. Parent Handout [English] [Spanish]

6 Year Visit


  1. Pre-Visit Questionnaire
  2. Immunization Records Form [English] [Spanish]
  3. Eligibility Screening Form [English] [Spanish]
  4. Parent Handout [English] [Spanish]

7 Year Visit


  1. Pre-Visit Questionnaire
  2. Immunization Records Form [English] [Spanish]
  3. Eligibility Screening Form [English] [Spanish]
  4. Parent Handout [English] [Spanish]

8 Year Visit


  1. Pre-Visit Questionnaire
  2. Immunization Records Form [English] [Spanish]
  3. Eligibility Screening Form [English] [Spanish]
  4. Parent Handout [English] [Spanish]

9 Year Visit


  1. Pre-Visit Questionnaire
  2. Immunization Records Form [English] [Spanish]
  3. Eligibility Screening Form [English] [Spanish]
  4. Parent Handout [English] [Spanish]

10 Year Visit


  1. Pre-Visit Questionnaire
  2. Immunization Records Form [English] [Spanish]
  3. Eligibility Screening Form [English] [Spanish]
  4. Parent Handout [English] [Spanish]

11-14 Year Visit


  1. Pre-Visit Questionnaire
  2. Immunization Records Form [English] [Spanish]
  3. Eligibility Screening Form [English] [Spanish]
  4. Parent Handout [English] [Spanish]

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