Appointments: (631) 732-5222

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Surveys, Forms & Questionnaires

Vanderbilt Index

A test used in the diagnosis and evaluation of children with ADHD.

Privacy Policy (HIPAA)

A detailed explanation of patient privacy rights The final page of the document contains a form requiring a parents signature at the first office visit to denote these policies were shared and understood.

Medical Record Release Form

You may use this form to request to have your child’s records transferred to our office.

Financial Policy

A detailed explanation of Peds First Pediatrics Financial Policies. We have also posted a series of Frequently Asked Questions on this topic within the Insurance and Billing section of our website.

© Peds First Pediatrics    2799 Route 112, Suite 11, Medford, NY 11763    631-732-5222