What is your preferred langauge?

What is your preferred langauge?
    • [[{"field_id":10558,"subrules":{"field_id":19370,"value":"English","operator":"Match"}}],[{"field_id":19331,"subrules":{"field_id":19370,"value":"Espa\u00f1ol","operator":"Match"}}]]

Welcome to Everychild Pediatrics!

Welcome to Everychild Pediatrics!
[[{"field_id":10442,"subrules":{"field_id":10558,"value":"I acknowledge and wish to proceed","operator":"Match"}}]]

Are you a returning patient? (For new patients, please call our clinic at (303) 450-3690 for assistance.)

Are you a returning patient? (For new patients, please call our clinic at (303) 450-3690 for assistance.)
    • [[{"field_id":33632,"subrules":{"field_id":10442,"value":"Returning Patient","operator":"Match"}}]]

Has the patient been seen by Every Child Pediatrics in the past 3 years?

Has the patient been seen by Every Child Pediatrics in the past 3 years?
    • [[{"field_id":15921,"subrules":{"field_id":33632,"value":"Yes","operator":"Match"}}]]

Please choose your preferred location

Please choose your preferred location
    • [[{"field_id":10443,"subrules":{"field_id":15921,"value":"Aurora","operator":"Match"}}],[{"field_id":10443,"subrules":{"field_id":15921,"value":"Denver\u00a0\n","operator":"Match"}}],[{"field_id":36787,"subrules":{"field_id":15921,"value":"Lakewood","operator":"Match"}}],[{"field_id":10443,"subrules":{"field_id":15921,"value":"Thornton","operator":"Match"}}]]

Are you scheduling a wellness exam? (If your child is sick and you would like to schedule an appointment, please call our clinic at (303) 450-3690 for assistance)

Are you scheduling a wellness exam? (If your child is sick and you would like to schedule an appointment, please call our clinic at (303) 450-3690 for assistance)
    • [[{"field_id":10444,"subrules":{"field_id":10443,"value":"Wellness Exam","operator":"Match"}}]]

Which type of appointment would you like to schedule? (If your child is currently sick and you would like to schedule an appointment for their illness, please call our clinic at (303) 450-3690 for assistance)

Which type of appointment would you like to schedule? (If your child is currently sick and you would like to schedule an appointment for their illness, please call our clinic at (303) 450-3690 for assistance)
    • [[{"field_id":10444,"subrules":{"field_id":36787,"value":"Wellness Exam","operator":"Match"}}],[{"field_id":36788,"subrules":{"field_id":36787,"value":"Asthma Recheck","operator":"Match"}}],[{"field_id":36793,"subrules":{"field_id":36787,"value":"ADHD Recheck","operator":"Match"}}]]

Is your child 12 years old or older?

Is your child 12 years old or older?
    • [[{"field_id":10445,"subrules":{"field_id":10444,"value":"Younger than 12 years old","operator":"Match"}}],[{"field_id":10445,"subrules":{"field_id":10444,"value":"12 years old or older\n","operator":"Match"}}]]

Does your child have any chronic medical conditions? Examples include asthma, ADHD, depression, and autism.

Does your child have any chronic medical conditions? Examples include asthma, ADHD, depression, and autism.
    • [[{"field_id":10446,"subrules":{"field_id":10445,"value":"Yes","operator":"Match"}}],[{"field_id":10506,"subrules":{"field_id":10445,"value":"No","operator":"Match"}}]]

Does your child have asthma?

Does your child have asthma?
    • [[{"field_id":10506,"subrules":{"field_id":10446,"value":"No","operator":"Match"}}]]

Will you require an interpreter for languages other than Spanish or English?

Will you require an interpreter for languages other than Spanish or English?

Will you require an interpreter for languages other than Spanish or English?

Will you require an interpreter for languages other than Spanish or English?

Is your child having severe coughing, wheezing, shortness of breath, or trouble breathing right now?

Is your child having severe coughing, wheezing, shortness of breath, or trouble breathing right now?
    • [[{"field_id":36789,"subrules":{"field_id":36788,"value":"No","operator":"Match"}}]]

Has your child been to the emergency room or stayed in the hospital for asthma in the past 2 weeks?

Has your child been to the emergency room or stayed in the hospital for asthma in the past 2 weeks?
    • [[{"field_id":36790,"subrules":{"field_id":36789,"value":"No","operator":"Match"}}]]

Is your child using their inhaler every 4–6 hours because of asthma symptoms?

Is your child using their inhaler every 4–6 hours because of asthma symptoms?
    • [[{"field_id":36791,"subrules":{"field_id":36790,"value":"No","operator":"Match"}}]]

Are your child's asthma symptoms making it hard to play or sleep?

Are your child's asthma symptoms making it hard to play or sleep?
    • [[{"field_id":36792,"subrules":{"field_id":36791,"value":"No","operator":"Match"}}]]

Do you have any other concerns you would like to discuss at this visit?

Do you have any other concerns you would like to discuss at this visit?

Has your child been diagnosed with ADHD?

Has your child been diagnosed with ADHD?
    • [[{"field_id":36794,"subrules":{"field_id":36793,"value":"Yes","operator":"Match"}}]]

Is your child taking ADHD medicine prescribed by Every Child Pediatrics?

Is your child taking ADHD medicine prescribed by Every Child Pediatrics?
    • [[{"field_id":36795,"subrules":{"field_id":36794,"value":"Yes","operator":"Match"}}]]

Has your child had chest pain, frequent headaches, trouble sleeping, a lower appetite, or weight loss?

Has your child had chest pain, frequent headaches, trouble sleeping, a lower appetite, or weight loss?
    • [[{"field_id":36796,"subrules":{"field_id":36795,"value":"No","operator":"Match"}}]]

Do you have any other concerns you would like to discuss at this visit?

Do you have any other concerns you would like to discuss at this visit?

¡Bienvenido a Everychild Pediatrics!

¡Bienvenido a Everychild Pediatrics!
[[{"field_id":19358,"subrules":{"field_id":19331,"value":"Reconozco y deseo continuar","operator":"Match"}}]]

Su hijo/a es un paciente establecido/a? (Para nuevos pacientes, por favor llame a nuestra clínica al (303) 450-3690 para recibir asistencia).

Su hijo/a es un paciente establecido/a? (Para nuevos pacientes, por favor llame a nuestra clínica al (303) 450-3690 para recibir asistencia).
    • [[{"field_id":33633,"subrules":{"field_id":19358,"value":"Paciente que regresa","operator":"Match"}}]]

¿Ha sido atendido el paciente por Every Child Pediatrics en los últimos 3 años?

¿Ha sido atendido el paciente por Every Child Pediatrics en los últimos 3 años?
    • [[{"field_id":19359,"subrules":{"field_id":33633,"value":"S\u00ed","operator":"Match"}}]]

Por favor, elija su ubicación preferida

Por favor, elija su ubicación preferida
    • [[{"field_id":19360,"subrules":{"field_id":19359,"value":"Aurora","operator":"Match"}}],[{"field_id":19360,"subrules":{"field_id":19359,"value":"Denver\u00a0\n","operator":"Match"}}],[{"field_id":36797,"subrules":{"field_id":19359,"value":"Lakewood","operator":"Match"}}],[{"field_id":19360,"subrules":{"field_id":19359,"value":"Thornton","operator":"Match"}}]]

¿Está programando un físico? (Si su hijo/a está enfermo y desea programar una cita, por favor llame a nuestra clínica al (303) 450-3690 para recibir asistencia).

¿Está programando un físico? (Si su hijo/a está enfermo y desea programar una cita, por favor llame a nuestra clínica al (303) 450-3690 para recibir asistencia).
    • [[{"field_id":19361,"subrules":{"field_id":19360,"value":"F\u00edsico","operator":"Match"}}]]

¿Qué tipo de cita le gustaría programar? (Si su hijo/a está enfermo/a y desea programar una cita, llame a nuestra clínica al (303) 450-3690 para obtener ayuda)

¿Qué tipo de cita le gustaría programar? (Si su hijo/a está enfermo/a y desea programar una cita, llame a nuestra clínica al (303) 450-3690 para obtener ayuda)
    • [[{"field_id":19361,"subrules":{"field_id":36797,"value":"F\u00edsico","operator":"Match"}}],[{"field_id":36798,"subrules":{"field_id":36797,"value":"Revisi\u00f3n de asma","operator":"Match"}}],[{"field_id":36803,"subrules":{"field_id":36797,"value":"Revisi\u00f3n de TDAH","operator":"Match"}}]]

¿Su hijo/a tiene 12 años o más?

¿Su hijo/a tiene 12 años o más?
    • [[{"field_id":19362,"subrules":{"field_id":19361,"value":"Menor de 12 a\u00f1os","operator":"Match"}}],[{"field_id":19362,"subrules":{"field_id":19361,"value":"12 a\u00f1os o m\u00e1s","operator":"Match"}}]]

¿Su hijo/a tiene alguna condición médica crónica? Ejemplos incluyen asma, TDAH, depresión y autismo.

¿Su hijo/a tiene alguna condición médica crónica? Ejemplos incluyen asma, TDAH, depresión y autismo.
    • [[{"field_id":19363,"subrules":{"field_id":19362,"value":"S\u00ed","operator":"Match"}}],[{"field_id":19364,"subrules":{"field_id":19362,"value":"No","operator":"Match"}}]]

¿Su hijo/a tiene asma?

¿Su hijo/a tiene asma?
    • [[{"field_id":19364,"subrules":{"field_id":19363,"value":"No","operator":"Match"}}]]

¿Necesitará un intérprete para algún idioma que no sea español o inglés?

¿Necesitará un intérprete para algún idioma que no sea español o inglés?

¿Necesitará un intérprete para algún idioma que no sea español o inglés?

¿Necesitará un intérprete para algún idioma que no sea español o inglés?

¿Tiene su hijo/a tos intensa, silbido, falta de aire o dificultad para respirar en este momento?

¿Tiene su hijo/a tos intensa, silbido, falta de aire o dificultad para respirar en este momento?
    • [[{"field_id":36799,"subrules":{"field_id":36798,"value":"No","operator":"Match"}}]]

¿Ha acudido su hijo/a a urgencias o ha estado hospitalizado por asma en las últimas dos semanas?

¿Ha acudido su hijo/a a urgencias o ha estado hospitalizado por asma en las últimas dos semanas?
    • [[{"field_id":36800,"subrules":{"field_id":36799,"value":"No","operator":"Match"}}]]

¿Su hijo/a usa el inhalador cada 4 a 6 horas debido a los síntomas del asma?

¿Su hijo/a usa el inhalador cada 4 a 6 horas debido a los síntomas del asma?
    • [[{"field_id":36801,"subrules":{"field_id":36800,"value":"No","operator":"Match"}}]]

¿Los síntomas de asma de su hijo/a le dificultan jugar o dormir?

¿Los síntomas de asma de su hijo/a le dificultan jugar o dormir?
    • [[{"field_id":36802,"subrules":{"field_id":36801,"value":"No","operator":"Match"}}]]

¿Tiene alguna otra inquietud que le gustaría tratar en esta visita?

¿Tiene alguna otra inquietud que le gustaría tratar en esta visita?

¿Su hijo/a ha sido diagnosticada con TDAH?

¿Su hijo/a ha sido diagnosticada con TDAH?
    • [[{"field_id":36804,"subrules":{"field_id":36803,"value":"S\u00ed","operator":"Match"}}]]

¿Está tomando su hijo/a medicamentos para el TDAH recetados por Every Child Pediatrics?

¿Está tomando su hijo/a medicamentos para el TDAH recetados por Every Child Pediatrics?
    • [[{"field_id":36805,"subrules":{"field_id":36804,"value":"S\u00ed","operator":"Match"}}]]

¿Ha tenido su hijo/a dolor en el pecho, dolores de cabeza frecuentes, problemas para dormir, falta de apetito o pérdida de peso?

¿Ha tenido su hijo/a dolor en el pecho, dolores de cabeza frecuentes, problemas para dormir, falta de apetito o pérdida de peso?
    • [[{"field_id":36806,"subrules":{"field_id":36805,"value":"No","operator":"Match"}}]]

¿Tiene alguna otra inquietud que le gustaría tratar en esta visita?

¿Tiene alguna otra inquietud que le gustaría tratar en esta visita?