Adolescent Well Visit Forms
Have your child complete the appropriate form(s): If you are completing online, use a computer (not cell phone). You can email to: or fax to: 770-988-5553. Or, you can print and bring with you.
Adolescent Health Questionnaire for 11-12 years old
Adolescent Health Questionnaire for 13 years and older
Pediatric Cardiac Risk Assessment for 11 yo and 14 yo
Tuberculosis/Lead Risk Assessment (for Amerigroup, CareSource, WellCare, PeachState and Medicaid patients only)