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Pediatric Associates, Inc.

Pediatrics Associates Inc.

East Providence, Rhode Island

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Forms

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Forms

  • New Patient Questionnaire (pdf)
  • Newborn Questionnaire (pdf)
  • 18+ Authorization (pdf)
  • Parental Authorization (pdf)
  • HIPPA (pdf)
  • Financial Policy (pdf)
  • Office Policy and Prescription Hub (pdf)
  • Transfer of Medical Records (pdf)
  • Release of Medical Records (pdf)
  • Update Demographics (pdf)
  • Sports Form (pdf)
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Pediatric Associates, Inc.
450 Veterans Memorial Parkway
Building 10
East Providence, RI 02914
map/directions

HOURS

Monday - Friday: 9 AM - 5 PM
Saturdays & Sundays: 9 AM - 12 PM for urgent visits

(401) 438-6888

URGENT VISITS

After Hours Hotline

Poison Control: 1-800-222-1222

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