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  4. Forms & Policies

Branch Pediatrics and Adolescent Medicine Forms & Policies

New Patients

  • New Parent Guide
  • New Patient Demographic & Insurance Form

Medical Forms

  • 1 week old
  • 1 month old
  • 2 months old
  • 4 months old
  • 6 months old
  • 9 months old
  • 12 months old
  • 15 months old
  • 18 months old
  • 24 months old
  • 30 months old
  • 36 months old
  • 48 months old

Safety

  • Safety 6-12 months
  • Safety 1st year
  • Safety 2-4 years

Parent Resources

  • Over-the-Counter Medication Dosing Guide
  • First-Aid and CPR
  • Babysitter Reminder Sheet
  • 2024 CDC Recommended Vaccine Schedule
  • Vaccine Guide - Brief
  • Vaccine Guide - Comprehensive

Locations

300 East Main Street
Suite 4/5
Smithtown, NY 11787
United States

Tel 631-979-6466
Fax631-979-6475

Contact Us

631-979-6466
631-979-6475
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Boston Children's Hospital

Boston Children’s Health Physicians

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Valhalla, NY 10595

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Boston Children’s Health Physicians

Boston Children's Hospital

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617-355-6000 | 800-355-7944

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