The Pediatric Clinic of Orangeburg

Screening Forms

English Forms:

Guide to Contraindications and Precautions to Commonly Used Vaccines (PDF)
Screening – Adult Immunizations (PDF)
Screening – Child/Teen Immunizations (PDF)
Screening for Flu Intranasal (PDF)
Screening for Flu Shot (PDF)
Screening Questionnaire for Infants, Children, and Teens (PDF)

Spanish Forms:

Screening – Child/Teen Immunizations (PDF)
Screening for Flu Intranasal (PDF)
Screening for Flu Shot (PDF)