Well-Child Checkups

The Child Health Program provides excellent Well-Child Check-ups to pediatric clients (birth to 20 years of age) to achieve and maintain optimal health.

To expedite your child’s visit, please print and fill out the following forms beforehand.

New Patients

Initial History Questionnaire – English
Initial History Questionnaire – Spanish
Patient Information and Income Verification- English
Patient Information and Income Verification- Spanish

Well-Child Checkup Patients Only

Tuberculosis- Lead Questionnaire- English
Tuberculosis- Lead Questionnaire-Spanish

Do you have questions about Well Child Check-ups? Please call 770-514-2300.
Please Note: *If you arrive more than 15 minutes late for your appointment, you will need to reschedule for another time.

What insurance do you accept for services?
Currently, Cobb & Douglas Public Health accepts these commercial insurance providers.