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Information Needed For New Patients
Please 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 Arrivals
If you do not cancel or reschedule an appoinment ahead of time, you will be subject to a $30.00 cancellation fee.

Miscellaneous
If 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

AgeSchedule 1Schedule 2
BirthHep B1No Immunization
1 MonthHep B2No Immunization
2 MonthsDTap, IPV, Hib 1, Prev.DTap, IPV, Comvax, Prev.
4 MonthsDTap, IPV, Hib 2, Prev.DTap, IPV, Comvax, Prev.
6 MonthsDTap, Prev., Hep B3, Hib 3DTap, Prev.
9 MonthsWell Child ExamWell Child Exam
12 MonthsMMR, Varivax, Prev.MMR, Varivax, Prev.
15 MonthsDTap, IPV, Hib 4DTap, IPV, Comvax, Prev.
18 MonthsWell Child ExamWell Child Exam
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