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Pediatric Associates of Williamsburg
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Pediatric Associates of Williamsburg
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Pediatric Associates of Willliamsburg
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Pediatric Associates of Williamsburg (CMG)
Stacey A. Cummings, MD
Mark C. Downey, MD
Christie A. Dry, MD
Kristina N. Powell, MD
Georgia A. Prescott, MD
Welcome to Pediatric Associates of Williamsburg
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Patient Registration
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Pediatric Patient Health History
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Patient Contact Consent Form
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Patient Financial Policy
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Treatment and Payment Acknowledgement/Concent
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Authorization to Give Consent for Outpatient Medical Treatment
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FAMIS Application
Medical Records Release Form
Athletic Participation/Parental Consent/Physical Examination Form
NICHQ Vanderbilt Assessment Scale - Parent
NICHQ Vanderbilt Assessment Scale - Teacher
Virginia State School Form
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These forms should be completed prior to your child's initial appointment.