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  • PDC Pediatrics
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Forms

PDC Pediatrics (CMG)
Ernette Benson-Foulk, MD
Laura Charette, MD
Bernadette Leidel, MD
Hugh McPhee, MD
Nivea Velazquez, MD
Kathleen Wiley, MD

Related Health Information
  • High-Risk Pregnancy
  • Normal Newborn
  • Dental and Oral Health
  • Growth and Development
  • Child and Adolescent Mental Health
  • Prevention of Infectious Diseases
  • Adolescent Medicine
  • New Patient History*
  • Patient Registration Form*
  • Patient History Update
  • Treatment and Payment Acknowledgement/Consent*
  • Authorization to Give Consent Medical Treatment Other than Parent*
  • Medical Records Release
  • PDC Influenza Screening Questionnaire
  • TB Risk Factors
  • Lead Screening

*For new patients only

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