| Irondequoit Pediatrics |
485 Titus Avenue
Suite F
Rochester, NY 14617
585-266-0310 Office
585-266-9207 Fax
Suite F
Rochester, NY 14617
585-266-0310 Office
585-266-9207 Fax
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Print and fill out this form,
then bring with you to
each well-child visit. Not
all questions may pertain
to your child.
then bring with you to
each well-child visit. Not
all questions may pertain
to your child.
The American Academy of
Pediatrics now
recommends screening of
all children for Autism at
ages 18-months and 2
years of age. Prior to
these visits, please print
and fill out this form, then
bring with you to our
office.
Pediatrics now
recommends screening of
all children for Autism at
ages 18-months and 2
years of age. Prior to
these visits, please print
and fill out this form, then
bring with you to our
office.
Sometimes you may think
that your child may be
depressed. He/she may be
spending more time alone,
or not doing well in school.
Please print and fill out this
evaluation, then bring to the
office if you are concerned.
that your child may be
depressed. He/she may be
spending more time alone,
or not doing well in school.
Please print and fill out this
evaluation, then bring to the
office if you are concerned.
Sometimes you may think
that your child is anxious,
is having a hard time
adjusting to new situations,
or is having trouble under
pressure. Please print and
fill out this evaluation, then
bring to the office if you are
concerned.
that your child is anxious,
is having a hard time
adjusting to new situations,
or is having trouble under
pressure. Please print and
fill out this evaluation, then
bring to the office if you are
concerned.
We are acutely aware that
many of our mothers are
having a hard time after
having a baby. Please print
and fill out this form, then
bring to our office if you are
worried.
many of our mothers are
having a hard time after
having a baby. Please print
and fill out this form, then
bring to our office if you are
worried.
Some children may have
symptoms of Attention
Deficit or Hyperactivity. In
this next link, there are
forms we want filled out to
help us with this evaluation
symptoms of Attention
Deficit or Hyperactivity. In
this next link, there are
forms we want filled out to
help us with this evaluation