Patient Brochure
click here to view & print form in PDF format

New Patient Registration Form
click here to view & print form in PDF format
Please complete one per child and bring with you on your visit. Thanks you.

Consent Form
click here to view & print form in PDF format 
 
This allows other adults to bring in your child for sick visits only.

There is a $15 processing fee for copying patient's records ($30 maximum per family).  Once you have completed form, you may fax, mail, or drop off this request along with payment.  If you are faxing, please be sure to include your credit card information.  Thank you.

Patient Portal
To register for online access through our Patient Portal, please review terms of service and complete enrollment form.  You can submit enrollment form(s) by mail, fax, or in person.
click here to view: Terms of Service
                           Enrollment Form (please complete one for each child)
 

Call for an appointment

Pediatric Associates of Medford, P.C.

101 Main Street, Suite 201

Medford, MA  02155
ph: 781- 396-1288

fax: 781- 391-1989
billing: 781-391-1366