|
|
|
New
Patient Forms
The following new
patient registration forms must be completed at or before your child’s
first visit. They are listed below so that you may print them out and
complete them at your convenience. The only form that needs to be
filled out separately for each child is the medical history form. All
other forms can be filled out once for the entire family. In the
future, please notify us immediately if there is a change of contact
information or insurance. Please bring all forms with you to your first
visit. If you choose to fill them out in the office instead, please
arrive ten minutes early for your appointment. (The forms listed below
are interactive forms and can be completed online and printed out prior
to your visit.)
© Riverside Pediatrics, LLP
2006. All rights reserved.
|
|
Riverside
Pediatrics, LLP
35 River Road
Cos Cob, CT 06807
Tel: (203) 629 - 5800
Fax: (203) 629 - 7960
HOURS:
Monday:
Walk-in 8:30AM until 9:20AM
Scheduled appointments from 9:30AM until 7PM
Tuesday:
Walk-in from 8:30AM until 9:20AM
Scheduled appointments from 9:30AM until 7PM
Wednesday:
Walk-in from 8:30AM until 9:20AM
Scheduled appointments from 9:30AM until 7PM
Thursday:
Walk-in from 8:30AM until 9:20AM
Scheduled appointments from 10:30AM until 7PM
Friday:
Walk-in from 8:30AM until 9:20AM
Scheduled appointments from 9:30AM until 5PM
Saturday & Sunday
Emergency Visits Only
|