Oceanside Pediatrics AndrewKiluk,M.D.,F.A.A.P

PLEASE PRINT OUT AGE APPROPRIATE FOR YOUR CHILD BEFORE HIS/HER SCHEDULED PHYSICAL APPT.  HAVE COMPLETED DAY BEFORE APPT. &  BRING TO APPT.

 THESE ARE DEVELOPMENTAL SCREENS WHICH ARE SCORED AT THE APPOINTMENT,

PLEASE TRY TO ANSWER ACURATELY A DAY OR TWO BEFORE APPOINTMENT. ONE PER CHILD.

 If you are having trouble printing off our forms/ save file to your desktop and then try to print from there. We are trying to work on the problem on our end. Some of our mom's have been able to print them out at home that way. Thank you for your patience.

2 MONTHS QUESTIONNAIRE

4 MONTHS QUESTIONNAIRE

6 MONTHS QUESTIONNAIRE

9 MONTHS QUESTIONNAIRE

12 MONTHS QUESTIONNAIRE

16 MONTHS(15 MOS-16MOS-30DAYS) QUESTIONNAIRE

18 MONTHS - QUESTIONNAIRE

24 MONTHS - 2 YRS OLD QUESTIONNAIRE

36 MONTHS - 3 YRS OLD QUESTIONNAIRE

48 MONTHS - 4 YRS OLD  QUESTIONNAIRE

60MONTHS- 5YRS OLD QUESTIONNAIRE

YOUNGER ADOLESCENT QUESTIONNAIRE(12-14 YRS

ADOLESCENT QUESTIONNAIRE(15 YRS+

THE 'VANDERBILT' ASSESSMENT SCALES BELOW ARE FOR TEACHERS & PARENTS TO HAVE COMPLETED BEFORE APPT.

TEACHER ASSESSMENT SCALE-TEACHER ONLY

PARENT ASSESSMENT SCALE