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TO TRANSFER TO OUR PRACTICE FROM ANOTHER OFFICE, WE FIRST NEED PARENTAL AUTHORIZATION TO OBTAIN RECORDS FROM YOUR PREVIOUS PCP.

 

PLEASE PRINT, FILL OUT AND SIGN THE RELEASE FORM AND FAX OR EMAIL IT to kidscarepeds@gmail.com

for new patients/newborns:

print and fill out the following forms to take to your first visit:

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