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RESOURCES

RESOURCES


We provide a wide range of professional services to meet your needs. We promise to provide every service with a smile, and to your highest level of satisfaction. 

Forms

*ADHD Agreement

*Adolescent Patient Authorization

*Authorization to Communicate Protected Health Information

*Authorization for Release of Information

*Medical Power of Attorney



Patient Services

*CHADIS

*Privacy/Hippa Policy

*Our Policy and Procedures

*Our Vaccine Policy

*Patient Satisfaction Survey

*Notice Informing Individuals about           nondiscrimination & Accessibility   Requirements

Registration

*Newborn Information & Medical History

*New Patient Information & Medical History

*Patient Registration Form

*Proxy Consent to Treat Minors Form

Resources

*Poison Control

*Recommended Physical & Immunization Schedules 

*Recommended Websites

*Tylenol and Motrin Dosing for Infants and Children

*Understanding the Importance of Building a Relationship with your Pediatrician


(410) 360-4446
3100 Mountain Rd, 
Pasadena,  MD 21122

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