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Plymouth Pediatric Associates

Plymouth Meeting Location
(610) 825-3500
3031 Walton Rd, #C101,
Plymouth Meeting, PA 19462

Collegeville Location
(610) 489-2229
50 W Third Ave, #400
Collegeville, PA 19426

Patient Resources

 

Authorization to Treat Minor Patient in
Absence of Parent/Guardian
 
Disclosure Authorization for Adult Patient
New Patient Forms
 
Schedule of Routine Visits and Immunizations
Notice of Privacy
 
Transfer Into Practice Form
     
Patient Information Form
(to update address, phone and/or insurance information)
  

 
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