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    • FAQs
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    • Immunizations
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  1. Pediatric Associates of Medford
  2. Patient Education
  3. Forms & Policies

Pediatric Associates of Medford Forms & Policies

  • Patient Education
    • FAQs
    • Forms & Policies
    • Immunizations
    • Resources

Practice Forms

  • Patient Brochure
  • New Patient Registration Packet
  • Medical Records Release Form

Well Visit Forms

  • 1-Year-Old Well Visit
  • 18-Month-Old Well Visit
  • 2-Year-Old Well Visit
  • 3-Year-Old Well Visit
  • 4- to 15-Year-Old Well Visit
  • 16- to 17-Year-Old Well Visit
  • 18 and Older Well Visit

MyChart Forms

  • Terms of Service
  • Enrollment Form

Adobe PDF Reader

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Pediatric Associates of Medford

101 Main Street
Suite 202
Medford, MA 02155

Phone: 781-396-1288
Fax: 781-391-1989

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