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  • 626-461-5883
  • 622 W Duarte Rd, Suite 301
  • Arcadia, CA 91007

Forms for each visit

Makena Pediatrics wants to make our services convenient for you. Caring for your child is our top priority. To help us help you, we’ve made our forms readily available online.

Edinburgh Postnatal Depression screening.


Edinburgh Postnatal Depression screening_Chinese.

Chinese Postnatal Depression Scale

M-CHAT screening for Autism.

m-chat_autism screening —– mchat_spanish

Attention Deficit & Hyperactivity screening.

ADHD screening

Ages and Stages Questionnaire Developmental screening.

Ages & Stages 0-60 months with scoring

Enuresis – Bedwetting screening form.

Enuresis screening

We believe that pediatricians should be a partner in the health and development of a child. We do this by emphasizing communication between our physicians and our caretakers. Whether at home or on the road, educating and empowering parents to care for their child’s current needs and future development is our top priority.

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