Patient Forms
You may download and print any of our forms listed below before coming to our office. This will get you out of the waiting room and in to see the doctor a lot quicker! You may either bring them with you to the first visit, or if you wish, fax them to us before your appointment.
You may download Adobe Reader for free at www.adobe.com .
PDF Forms |
Secure Online Forms |
Developmental Screening (please print out and bring to appointment) |
Other Parent Forms |
|
Patient Registration Form New Patient Questionnaires Request for Medical Records Notice of Privacy Practices Financial Policy |
Prescription Refill Request Referral Request Bill Pay |
18 mos 2 yr 6-13 yrs 18 + yrs (all other ages: forms in-office) Behavioral/Learning Concerns |
Form Log-in (log-in required) |
Office Policies
Phone Hours
Our phones are open throughout the regular office hours, with the exception of lunch ( 12:00-1:30p.m.) when phones are forwarded to the answering service. We do not have a designated phone hour because we believe you should have access to the office throughout the day. If you have a routine question, the doctor will try to return your call at the end of the morning or afternoon session. Our nurses have been trained to handle many of the common problems that may arise and they would be most willing to help you whenever possible.
As our practice has grown, the demands on our phone system have strained us almost to the breaking point. Sometimes in the winter months we might have broken a few times. Due to our commitment to access and availability for all out patients’, we ask you to be understanding during times of peak usage. It is our intention to return all phone calls within 15-20 minutes; however, in certain situations it may take us a bit longer to get back to you. In the case of an urgent or emergency situation, simply indicate to the receptionist that you need an immediate call back and we will guarantee you a quick response.
Triage
In order to handle the over 300 calls we receive each day, we have to use some sort of screening process. We do understand your frustration at “having to explain my problem to two or three people”’ but we want to provide you with the best solution possible. To expedite your call, we ask you to indicate to the receptionist at the beginning of your call if your needs are: 1) Well child appointment scheduling; 2) problem or question for the nurse or doctor; or 3) same day appointment for a medical problem. In this way we can respond to you quickly and efficiently and avoid any added frustration or stress for you.Prescription Refills
Prescriptions should be called in during regular office hours. Please allow 48 hours notice for all refills when possible. We do not do prescription refills evenings or weekends.
Wherever there are kids, there will be emergencies. We understand how frightening it can be to have a child with a laceration, a broken bone or a sudden severe illness. We are always willing and equipped to handle most common pediatric emergencies. We only ask that you notify the office before coming in with your child so that we may be prepared to offer the necessary care. In case of life-threatening emergencies, we suggest that you arrange to have your child transported via ambulance to either Metro West Medical Center – Framingham Campus or UMass Medical Center – Worchester, since both of these centers are staffed by pediatric emergentologists. Please notify the office if you are taking your child to the hospital so that we may coordinate care with the emergency room prior to your arrival. In afterwards for follow-up. Communication, openness and understanding between doctor, patient and parent are extremely important. We encourage you to discuss freely any problems that might arise regarding treatment, fees, office personnel, etc. We are here to help you and we need your input to maintain our high standards of care.







