[PRACTICE NAME] [PRACTICE ADDRESS] [CITY, STATE ZIP PHONE]

1. [PRACTICE NAME][PRACTICE ADDRESS] [CITY, STATE ZIP PHONE] [PRACTICE NAME][PRACTICE ADDRESS] [CITY, STATE ZIP PHONE] NAME___________________________________________DATE ___________________________________________ NAME___________________________________________DATE ___________________________________________ Rx Rx Please schedule a well-child checkup at the first available appointment time. Regular checkups are an important part of staying healthy! Please schedule a well-child checkup at the first available appointment time. Regular checkups are an important part of staying healthy! _____________________________, MD _____________________________, MD [PRACTICE NAME][PRACTICE ADDRESS] [CITY, STATE ZIP PHONE] [PRACTICE NAME][PRACTICE ADDRESS] [CITY, STATE ZIP PHONE] NAME___________________________________________DATE ___________________________________________ NAME___________________________________________DATE ___________________________________________ Rx Rx Please schedule a well-child checkup at the first available appointment time. Regular checkups are an important part of staying healthy! Please schedule a well-child checkup at the first available appointment time. Regular checkups are an important part of staying healthy! _____________________________, MD _____________________________, MD