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Information Needed For New PatientsPlease go to the Forms page and fill out each form as competely and accurately as possible. Information Needed For An Appointment- ID Card
- Drivers License
- Vaccines Record
- Social Security Card
- Health Insurance Card
Late ArrivalsIf you do not cancel or reschedule an appoinment ahead of time, you will be subject to a $30.00 cancellation fee. MiscellaneousIf you are not the parent or guardian of the patient you must have written consent to have the child seen by us. Vaccination and exam forms will be done within 48 hours of your request. Required Vaccinations | Age | Schedule 1 | Schedule 2 | | Birth | Hep B1 | No Immunization | | 1 Month | Hep B2 | No Immunization | | 2 Months | DTap, IPV, Hib 1, Prev. | DTap, IPV, Comvax, Prev. | | 4 Months | DTap, IPV, Hib 2, Prev. | DTap, IPV, Comvax, Prev. | | 6 Months | DTap, Prev., Hep B3, Hib 3 | DTap, Prev. | | 9 Months | Well Child Exam | Well Child Exam | | 12 Months | MMR, Varivax, Prev. | MMR, Varivax, Prev. | | 15 Months | DTap, IPV, Hib 4 | DTap, IPV, Comvax, Prev. | | 18 Months | Well Child Exam | Well Child Exam |
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