Patient education begins with the questions you ask on your intake form. This Pediatric Intake Form features patient personal data, past & present health history, a Quality of Life Assessment, and most importantly a checklist of what aspects of their health they'd like to improve. Get to the root cause efficiently with this vitalistic intake form.
 
· Printable & Editable PDF  
· PracticeHub Code - ready to insert and use! (set up instructional document included)