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Goldsboro Pediatrics, P.A. 2706 Medical Office Place Goldsboro, NC 27534 (919) 7344736 Fax: (919) 5801017GoldsboroPediatrics.com104 Commercial Drive Princeton, NC 27569 (919) 9363164 Fax: (919) 9363281327
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Obtain the goldsboro pediatrics p form from the clinic or download it from their website.
02
Fill out your personal information such as name, address, phone number, and date of birth.
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Provide information about your child including their name, date of birth, and any medical history or medications they are currently taking.
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Sign and date the form to certify that all information provided is accurate and complete.
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Submit the completed form to the receptionist or nurse at Goldsboro Pediatrics.

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Parents or legal guardians of children who are seeking medical care at Goldsboro Pediatrics.
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Goldsboro Pediatrics P is a pediatric healthcare facility located in Goldsboro, NC.
The healthcare providers and staff at Goldsboro Pediatrics P are required to file necessary reports and documentation.
To fill out Goldsboro Pediatrics P forms, healthcare providers need to provide accurate patient information, medical history, and treatment details.
The purpose of Goldsboro Pediatrics P is to provide healthcare services, treatment, and medical care for children and adolescents in the community.
Information such as patient demographics, medical history, treatment plans, and billing details must be reported on Goldsboro Pediatrics P forms.
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