Deceriana Uy: Periatrican Rocky Point New York
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631.509.0671
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About
Office Photos
Form Requests
FINANCIAL AND OFFICE POLICIES
WELL FORMS
New & Transferring Patients
Newborns
BABIES 1 MTH – 2 YRS
YOUNG CHILDREN AGES 3-9
Early Adolescent
Middle Adolescent
Late Adolescent
Immunization
Insurance
Office Forms
Reviews
Contact
649 Route 25A, Suite 3,
Rocky Point NY 11778
DIRECTIONS
631.509.0671
Newborns
Newborn 1st Visit Forms
Please remember to bring the following with you on your newborn’s first visit:
NYS Metabolic Screening Slip
Insurance Card
Please print and fill out the following forms from above to save time on your first visit with us:
Patient Information
Guarantor Agreement
Nondiscrimination Notice
Notice of Privacy Practices
NYSIIS Patient Information
If your child was not administered the Hepatitis B vaccine during his/her hospital stay, then it will be administered during your child’s first appointment with us.
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631.509.0671
Home
About
Office Photos
Form Requests
FINANCIAL AND OFFICE POLICIES
WELL FORMS
New & Transferring Patients
Newborns
BABIES 1 MTH – 2 YRS
YOUNG CHILDREN AGES 3-9
Early Adolescent
Middle Adolescent
Late Adolescent
Immunization
Insurance
Office Forms
Reviews
Contact
649 Route 25A, Suite 3,
Rocky Point NY 11778
DIRECTIONS