

Dr. Lennie Malang
Pediatrician
St. Clare Specialty Center
11307 Bridgeport Way SW Suite 200, Lakewood, WA 98499
P: (253) 985-6688 F: (253) 985-2999
ACCEPTING NEW PATIENTS
PATIENT FORMS
Parent Follow Up Vanderbilt (ADHD)
Teacher Follow Up Vanderbilt (ADHD)
MCHAT (at 18 and 24 months visit)
Post Partum Depression Screen (at 2 weeks, 2,4, and 6 months visit)
PHQ Depression Screen (at 12-18 year annual physical)
Asthma Medication for School Form
Pierce County School Health Report Form
Return to School after Concussion Form
Child and Youth Services Health Assessment/Sports Physical (CYS)
Preoperative Clearance (Surgeries, Dental Procedures)
WIC forms for Infants (Birth to 12 months)
WIC forms for Children (1-5 year olds)
If you just moved to Washington and would like some fun tips on what, when, and where to go with you kiddos, check these links:
INTERNATIONAL TRAVEL
If you plan to travel to abroad and believe your child will need immunizations or other medication (anti-malaria, etc.), it is best to schedule an appointment 4 to 6 weeks prior to your departure.
Check what vaccines or medicines you need for your next trip:
VACCINES
It is strongly recommend infants and children receive their vaccines on the following schedule. The vaccines are timed in order to protect your child when he or she is most vulnerable and when they will be most effective. Vaccines do not cause autism nor will they "overwhelm" your child's immune system. The American Academy of Pediatrics and the Centers for Disease Control and Prevention has excellent websites that can answer any questions you have. Vaccines protect your child against life threatening disease.



