Forms

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Patient Forms — YouBelong Pediatrics, Suwanee, GA

Patient Forms — YouBelong Pediatrics, Suwanee, GA

To help streamline your child’s visit at YouBelong Pediatrics, we strongly recommend printing and completing the required patient forms before your appointment. Being prepared in advance allows our team to focus on what matters most — providing exceptional, personalized pediatric care for your child from the moment you walk in.

 

Completing your new patient paperwork ahead of time will save you valuable time during check-in and help avoid delays. If you choose not to fill out the forms in advance, please plan to arrive at least 15 minutes before your scheduled appointment time to complete them in our office.

 

Why Complete Forms Before Your Visit?

 

  1. Faster, smoother check-in experience
  2. More time with Dr. Akbar during your appointment
  3. Accurate collection of your child’s medical history, immunization records, and insurance information
  4. Reduced wait times for your family and other patients

 

Whether you are a new patient scheduling a well visit, sick visit, sports physical, or newborn appointment in Suwanee, Duluth, Johns Creek, Buford, Sugar Hill, or Cumming, GA — having your paperwork ready ensures the best possible start to your care at YouBelong Pediatrics.

 

If you have any trouble accessing or completing the forms, please don’t hesitate to call our office — our friendly staff is happy to assist you.

Development Forms

  1. MCHAT (18, 24, 30 months)
  2. ASQ3 (9, 15 months)

Asthma Forms

  1. Asthma Control Test (4-11 years)
  2. Asthma Control Test (12+ years)

Mental Health Forms

  1. Vanderbilt – Parent Initial
  2. Vanderbilt – Teacher Initial
  3. Vanderbilt – Parent Follow up
  4. Vanderbilt – Teacher Follow up
  5. Patient Health Questionnaire (PHQ-9)
  6. SCARED – Parent Form
  7. SCARED – Child Form
  8. SCARED – Patient 18+ Form
  9. Evaluation and Management of Patients with school difficulties
  10. GAD7