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  Newborn Handout   NewBorn Hangout
       
  HIPAA Privacy Form  
NewBorn Hangout
       
  HIPAA Privacy Form 2  
NewBorn Hangout Patient Form in Spanish
       
  Authorization for Release of Medical Information   NewBorn Hangout
       
       
  Medical Family History Questionnaire   NewBorn Hangout
       
       
  Patient Eligibility Screening Records   NewBorn Hangout
       
  Maryland Immunization Certificate (Form DHMH 896)   http://www.edcp.org/pdf/896_form.pdf
       
  Maryland Health Inventory Form (Form SRS-6)   NewBorn Hangout
       
  Vaccine Information Sheets   http://www.immunize.org/vis/vis_english.asp
       
     
 
 
     
 
 
Please visit our sister clinic at www.familytravelclinic.com to learn more about our travel clinic.  We offer on-site travel vaccinations for children and adults, travel advice, and prescriptions for travel related medications.

We are a CDC certified yellow fever vaccination site.   We also update our travel clinic blog regularly at: familytravelclinic.com/blog
   
 

We perform ear piercings at Takoma Park Pediatrics!

Please call our office to find out more about our earring selections and pricing.
 
 
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