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GALES FERRY PEDIATRICS PATIENT NAME: ADDRESS: PHONE: Street Address City/State Home/cell DOB: Zip Code I HEREBY AUTHORIZE YALE NEW HAVEN HEALTH SYSTEM AND RELATED ENTITIES TO (RECEIVE/DISCLOSE) MAY
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How to fill out Gales Ferry Pediatrics:

01
Start by gathering all necessary personal information, such as the patient's full name, date of birth, and contact information.
02
Next, fill out the medical history section. Provide details about any allergies, previous medical conditions, surgeries, or hospitalizations.
03
Complete the medication list, including any current medications, dosages, and frequency of use.
04
If the patient has any ongoing medical conditions, make sure to provide relevant information and any specific instructions or treatments.
05
Additionally, fill out the vaccination section, indicating which vaccines the patient has received and their respective dates.
06
In the emergency contact section, provide the names and phone numbers of individuals who should be contacted in case of an emergency.
07
Lastly, review the form for accuracy before submitting it to Gales Ferry Pediatrics.

Who needs Gales Ferry Pediatrics:

01
Infants and young children who require routine check-ups and vaccinations.
02
Parents seeking pediatricians who provide comprehensive healthcare services for children.
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Individuals in need of specialized care for specific pediatric conditions or illnesses.
04
Families looking for a pediatrician who offers guidance and support in areas such as nutrition, growth and development, and mental health.
05
Expectant parents who want to establish a relationship with a pediatrician before their baby is born.
In conclusion, anyone in need of pediatric healthcare services, ranging from routine check-ups to specialized care, can benefit from Gales Ferry Pediatrics. Whether it's for infants, young children, or even expectant parents, Gales Ferry Pediatrics offers a range of services to meet the unique needs of each patient.
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Gales Ferry Pediatrics is a pediatric medical practice that provides healthcare services to children.
Parents or legal guardians of children who are patients at Gales Ferry Pediatrics are required to file the necessary paperwork for medical treatment.
To fill out Gales Ferry Pediatrics paperwork, parents or legal guardians must provide accurate information about the child's medical history, current medications, and any allergies or pre-existing conditions.
The purpose of Gales Ferry Pediatrics is to provide comprehensive medical care for children, including routine check-ups, vaccinations, and treatment for illnesses and injuries.
Information such as the child's name, date of birth, medical history, current medications, allergies, and any recent illnesses or injuries must be reported on Gales Ferry Pediatrics paperwork.
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