The Pediatric Center New Patient Forms

Toledo, OH Children’s Health

Serving Northwest Ohio and Southeast Michigan

Save time and come better prepared for your first visit to The Pediatric Center by printing out and completing these forms. If you have any questions on how to fill out certain fields, call the office you have scheduled your appointment with. We look forward to serving you!

Acknowledgement of Notice of Privacy Practices for The Pediatric Center
Consent Agreement
Financial Information Sheets
Patient Information Forms
Policy Title

Contact The Pediatric Center nearest you at one of the numbers below.

Franklin Park

3740 W. Sylvania Ave.
Suite 250
Toledo, OH 43623
419-473-6670
Fax 419-473-9959
Oregon

3156 Dustin Rd.
Suite 300
Oregon, OH
43616
419-697-6777
Fax 419-697-6712
Lambertville

3309 Quail Hollow
Suite C
Lambertville, MI
48144
734-854-2428
Fax 734-854-2237
Adrian

770 Riverside Ave,
Suite 17
Adrian, MI 49221
517-265-8134
Fax 517-265-2249

Immunization - Toledo, OH  - The Pediatric Center

 

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