Forms You can download the following forms and bring the completed forms with you to your appointment. Tylenol/Motrin and Benadryl The information below for dosages of Tylenol/Motrin and Benadryl (diphenhydramine hydrochloride) can help you find answers to some common questions about these medication. Tylenol/Motrin dosing sheet Benadryl dosing sheet Pediatric/Adolescent Forms Medical Records Request Pediatric Patient History Medical Consent for a Minor Schedule of Pediatric Immunizations Schedule of Immunizations for Children - 0 to 6 years Schedule of Immunizations for Children - 7 to 18 years Day Care/School Forms West Virginia Child Health Assessment West Virginia Secondary School Activities Consent West Virginia Immunization Requirements for School Entrance Anaphylaxis Emergency Action Plan Monongalia County Schools Medication Form Kindergarten Health Screening Form Child Health Record for Day Care Well Visit Handouts Newborn Visit 1 Month Visit 2 Month Visit 4 Month Visit 6 Month Visit 9 Month Visit 1 Year Visit 15 Month Visit 18 Month Visit 2 Year Visit 2 1/2 Year Visit 3 Year Visit 4 Year Visit 5 and 6 Year Visits 7 and 8 Year Visits 9 and 10 Year Visits Early Adolescent Visits 15 to 17 Year Visits 18 to 21 Year Visits Family Medicine Medical Records Request Medical Consent for a Minor Schedule for Adult Immunizations Recommended Adult Vaccinations WV DOT Forms WV DOT CDL Physical Form WV DOT Handicap Placard Form Obstetrics and Gynecology Medical Records Request Patient History