(781) 772-1527
Fax : (781) 772-1497 

New Patient Forms


If your child is a new patient, welcome!  We are thrilled to know you entrust Pediatric Health Care with your child.  Please download and print the following forms to be brought with you at your initial appointment.  You can also fax them to our office in advance.  The fax number is (781) 772-1497.

Teen Authorization