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Candlewood Valley Pediatrics

120 Park Lane Rd., Suite A-101
New Milford, CT 06776
(860) 355-8190

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© 2019-2020 Candlewood Valley Pediatrics | 120 Park Lane Rd., Suite A-101 | (860) 355-8190
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IMPORTANT!

You must download and complete the following 5 forms and email them to office@cvpkids.com or fax them to (860) 355-3856 before your first visit. (We’d prefer that you send them in before you pre-register).

    • New Patient Contract
    • Medical Records Release Form
    • Demographic Sheet
    • Waiver
    • Credit Card Form

You must also read and agree to the Vaccine Policy.

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Pre-Visit Forms(Required)
Pre-Visit Forms(Required)