Olympia Pediatrics, PLLC

  • Providers
  • Information
  • Appointments
  • Forms
  • Patient Portal
  • Payments
  • Contact
  • Directions

Appointments

Phone: 360-413-8470
Fax:     360-413-8819

Office Hours

Monday-Friday 8am-4pm (temporarily) 

 

Saturday-Urgent Care

(By Appointment Only)

8am-12pm

 

Sunday CLOSED 

 


Articles

KidsDoc Symptom Checker / HealthChildren.org

The American Academy of Pediatrics has introduced a new online tool: KidsDoc Symptom Checker.  This is an online tool that provides parents with information about their children's symptoms and advice on when to consult their medical provider. 


read more...

Forms

Download any of the forms below by clicking on the appropriate title.


  • Appointment Forms
  • |
  • Developmental Behavioral Forms
  • |
  • Flu Vaccine Clinic
  • |
  • New Patient Forms
  • |
  • Release Forms
  • |
  • NICHQ Vanderbilt Assessment Forms
  • |
  • Misc.

Appointment Forms

ACT-AGE 4-11

ACT- AGE 12 & UP

PHQ-A

PHQ-9 & GAD-7

PROMIS - Parent Proxy Anxiety Survey

PROMIS - Pediatric Anxiety Survey

PSC-17

SCARED Short-parent version

SCARED Short-child version

SCARED Long-child version

SCARED Long-parent version

SMFQ

Developmental Behavioral Forms

Developmental Behavioral

Flu Vaccine Clinic

Flu Vaccine Consent 2021-2022

Flu Vaccine Information Statement

Flu Vaccine Information Statement- Mist

New Patient Forms

Aggressive Disruptive Behavior

Release Forms

Consent for Release of Medical Records

NICHQ Vanderbilt Assessment Forms

NICHQ Vanderbilt Assessment Form - Parent

NICHQ Vanderbilt Assessment Follow-up - Parent

NICQH Vanderbilt Assessment Form - Teacher

NICHQ Vanderbilt Assessment Follow-up - Teacher

Misc.

Patient Safety Plan

Well Child/ Acute flyer

Medication Refill Policy

Olympia Pediatrics | 3434 12th Ave NE, Olympia, WA 98506 | Ph: 360.413.8470 Fax: 360.413.8490