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Patient Information REGISTRATION

Guarantor Financial Agreement &Authorization of Treatment

Consent toTreat FOR CAREGIVERS OTHER THAN PARENTS

Pediatric Health History

Newborn Discharge Guidelines

CT State Health Assessment (K-12)

CT Early Childhood Assessment

Generic Camp Physical

Notice of Privacy Practices

Notice of Privacy Practices
ACKNOWLEDGEMENT OF RECEIPT

HIPAA Authorization Patient
DIRECTED RECORD RELEASE

NEW PATIENT PACKET

18-Year-Old Packet

Gynecology Referrals

ADHD Protocol:Evaluation Guidelines Office Management Family History

CT Vaccine Program Additional Patient Information

“The best way to keep children home is to make the home atmosphere pleasant - and let the air out of the tires.”
- Dorothy Parker