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Kaplan, McNamee & Lero Pediatrics

    A Foundation Medical Partners' Practice

       After Hours Care
       Emergency
       Forms
       Prescription Refills
       Referrals
       Your Medications

 

Forms

You can save time on the day of your appointment by printing the following forms if needed and bringing them with you to your appointment.The form file is viewable with Adobe Acrobat Reader.

 

Additional Sibling Information Sheet - Complete this form and bring it with you to your first appointment.

 

CDC Vaccine Information Statements - Click here for more information regarding vaccines.

 

Well Child Physical/Vaccine Schedule Sheet - Click here for a complete listing of recommended physicals and vaccines.

 

Release of Records - Complete this form if you would like to transfer records from another provider to us or transfer your records with us to another provider.

 

 

 

 

 

 

 

 

 

 

 

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