Patient Forms Preparation Helps Us Serve You Better. INTERNAL MEDICINE & GASTROENTEROLOGY New Patient Forms PEDIATRICS New Patient Forms Mental Health Wellness Questionnaire – Ages 6 – 9 Mental Health Wellness Questionnaire – Ages 0 – 2 Mental Health Wellness Questionnaire – Ages 10 – 12 Mental Health Wellness Questionnaire – Ages 3 – 5 Mental Health Wellness Questionnaire – Ages 13 – 20