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Doctors' Pediatric - Wilton & Ridgefield Pediatrician Offices

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Forms & Policies

Permission Letter

Record Release Form

Telemedicine Informed Consent

Med Authorization Forms 2014 – PDF

Vanderbilt_ADHD_Parent_Eval

Vanderbilt ADHD Teacher Eval

Why am I getting a copay on a physical?

 

 

Do you need Camp, Sport or Blue school forms?

Forms will be available for pick up on the third business day after drop off. There is a $10.00 fee per form, payable at the time of pick up. If they are needed sooner, the fee will be $15.00 per form. As always, we will provide a CT State Blue Form at the time of your child’s physical FREE OF CHARGE. Thank you for your anticipated cooperation in this matter.

*effective 4/02/2019

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Office Locations

Wilton: 55 Danbury Road Wilton, CT 06897 (map) 203.762.3363

Ridgefield: 10 South Street Ste 206 Ridgefield, CT 06877 (map) 203.431.3363

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