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Lock port Pediatrics New Patient History/Consents/Authorizations 139 Professional Parkway Lock port, NY 14094 P. 7164336711 f. 7164330546 Patient Demographics: Patient Name Sex: M or F Date of Birth
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How to fill out lockport pediatrics new patient
How to fill out lockport pediatrics new patient
01
Start by visiting the Lockport Pediatrics website or office.
02
Download and print out the new patient forms.
03
Fill out your personal information such as name, date of birth, address, and contact details.
04
Provide your insurance information and policy number.
05
Answer any medical history or health-related questions accurately.
06
If applicable, list any medications or allergies you have.
07
Sign the consent forms and any additional required documents.
08
Review the completed forms to ensure all information is accurate and complete.
09
Bring the filled-out new patient forms with you to your appointment at Lockport Pediatrics.
10
Provide the forms to the receptionist or front desk staff upon arrival.
11
Wait for your turn to see the healthcare provider.
Who needs lockport pediatrics new patient?
01
Anyone who is seeking medical care from Lockport Pediatrics for the first time.
02
Individuals who have not previously been seen by a healthcare provider at Lockport Pediatrics.
03
Parents or guardians who are enrolling their child as a new patient at Lockport Pediatrics.
04
New residents to the Lockport area who need to establish a primary care physician.
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