Olympia Pediatrics, PLLC

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Appointments

Phone: 360-413-8470
Fax:     360-413-8490

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

SCARED Long-child version

PROMIS - Parent Proxy Anxiety Survey

PHQ-9 & GAD-7

PROMIS - Pediatric Anxiety Survey

SCARED Long-parent version

SMFQ

PSC-17

SCARED Short-child version

SCARED Short-parent version

ACT-AGE 4-11

ACT- AGE 12 & UP

Developmental Behavioral Forms

Developmental Behavioral

Flu Vaccine Clinic

Flu Vaccine Consent 2021-2022

Flu Vaccine Information Statement- Mist

Flu Vaccine Information Statement

New Patient Forms

Aggressive Disruptive Behavior

Release Forms

Consent for Release of Medical Records

NICHQ Vanderbilt Assessment Forms

NICHQ Vanderbilt Assessment Follow-up - Parent

NICHQ Vanderbilt Assessment Follow-up - Teacher

NICHQ Vanderbilt Assessment Form - Parent

NICQH Vanderbilt Assessment Form - Teacher

Misc.

Well Child/ Acute flyer

Patient Safety Plan

Medication Refill Policy

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