Forms and Resources
Patient Forms and Resources
New Patient Forms
If you would like to come to your appointment prepared with your pre-filled forms in hand, you may download the New patient form below, print it and fill it out before arriving for your appointment. This will help to ensure that we can come and go in a timely manner.
If you would like to authorize the release of Medical Records to Adventures in Pediatrics, please fill out the Release Form.
Other Forms
Complete and Submit your ASQ-3 Forms Easily and Securely Online
Ages and Stages Questionnaires (or ASQs) are part of your child’s standard well-child exams, starting from the age of 2 months, and going up to 5 years of age. You can now submit these age-appropriate developmental screening questionnaires through the secure link below. Please completed this a couple of days before your appointment so that we can better serve you when you arrive to the clinic.
Resources for Parents
Click forms below to download Wellness Tip PDFs
Stress Free Meals
Limit Screen Time
Healthy Drinks
Play Every Day
Dosing Charts
Helpful Links
- Weight Status in Alaska (2018)
- Obesity Facts: Overweight/Obesity & Cancer Risk (2018)
- Play Every Day Facts: Sugary Drinks Education Campaign (2018)
- 4 Healthy Habits known to Prevent Chronic Disease (2017)
- School Policies & Practices Impacting Childhood Obesity (2017)
- The Health Impact Pyramid: Helping children grow up at a healthy weight (2017)
- Snacks in Alaska Schools (2017)
- The Cost of Obesity in Alaska (2014)
- PE Policies & Practices (2014)
- Sugary Drinks (2013)
- Local Foods (2013)
- Breastfeeding in Alaska (2013)
- Maternal Weight Gain (2013)
- The Obesity Epidemic and Alaska Students (2012)
- No.1 Children's Health Issue (2012)
- Early Childhood Obesity (2012)
- Sugar Sweetened Beverages (SSBs) in Alaska (2011)
- Bike to Work Day (2011)
- Availability of Snacks in Alaska Schools (2010)
- Fruit and Vegetable Intake in Alaska (2010)
- About BMI-for-age for Children and Teens (2012)
- Diabetes Facts: The Diabetes-Obesity Link (2009)
- 30 Active Minutes Every day (2006)
- 30 Active Minutes: Activity Pyramid
- Home Much Sleep Do Babies Need