My Doctor Online The Permanente Medical Group
Are you having back pain with any of the following?
- Severe pain, weakness or tingling in your leg(s).
- Difficulty stopping urination or loss of control of bladder or bowels.
- Unexplained fever, nausea or vomiting.
- A history of cancer or unexplained weight loss.
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
Patricia Gahagan, NP
Pediatrics
As your Nurse Practitioner, I value my relationship with you. And I know that maintaining a good relationship means being able to communicate with each other. My colleagues and I have developed My Doctor Online so that we can stay in touch more easily. Because the better connected we are, the healthier you are.
Quick Links
- Teen Clinic at Vallejo
- Anatomical Charts
- Car Seat Safety for Children
- Cold, Flu and Cough
- HealthyChildren.org (AAP)
- Online Newsletters for Parents
- Pediatric Acetaminophen (Tylenol) and Ibuprofen (Advil, Motrin)
- Prepare for Your Procedure - Emmi
- Recommended Immunization Schedule
- Vaccine Information Statements
- Young Adult Health
General References
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Forms
Well Check Questionnaires
Age specific health questionnaires for parents to print out, fill in, and bring to your next well visit. English with Spanish on reverse.
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Birth to 1 Year
- Health questionnaires for parents of infants to print and fill out before each routine well baby visit.
- 2 to 4 Week Health Questionnaire
- 2 Month Health Questionnaire
- 4 Month Health Questionnaire
- 6 Month Health Questionnaire
- 9 Month Health Questionnaire
- 12 Month Health Questionnaire
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1 to 12 Years
- Forms for parents of children ages 1 to 12 years to print and fill out before each well visit.
- 18 Month Health Questionnaire
- 21 to 24 Month Health Questionnaire
- 3 Year Health Questionnaire
- 4 to 5 Year Health Questionnaire
- 5 to 6 Year Health Questionnaire
- 6 to 8 Year Health Questionnaire
- 8 to 10 Year Health Questionnaire
- 10 to 12 Year Health Questionnaire
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12 to 18 Years
- Forms for parents of teens and teens themselves to print and complete before well visits.
- Parent of Teen Health Questionnaire
- Teen Health Questionnaire
- Athletic Screening Exam
ADHD Evaluations for Parents and Teachers
Forms that may be recommended for parents and teachers fill out to help evaluate a child for Attention Deficit Hyperactivity Disorder.
Developmental Assessment Forms
Forms parents may be asked to complete as part of a developmental evaluation. Complete as directed.
Health Exam for School or Camp Entry
Standard state form documenting well visits and immunizations. Often required for school, sports, or camp entry.
Asthma Forms
Tools to help manage your child's asthma
Other Forms
Forms that must be filled out for children to be referred to services outside of the pediatrics department.
Consent Forms
Forms that parents or guardians can fill out to give consent for immunizations, treatment, and/or release of medical records.