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Well Care Check-up Screenings

These forms should be completed when instructed by your Primary Care Provider (PCP).


Washington State has special protection for patient confidentiality starting at the age of 13. Your provider would like to take this Well Child Check-up as an opportunity to demonstrate Allegro Pediatrics as a safe place for your teenager to talk about anything they feel is important to their health and to encourage more independence for their own health care. If you and your teen feel comfortable, we invite your teen to fill out these forms confidentially and at the appointment, your provider will review the forms with your teen.