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Back Home
1-2-3 Pediatrics
  • Search
  • Home
  • About 1-2-3 Pediatrics
  • About Dr. Lue
  • Insurances
  • Patient Forms
  • Our Clinic
  • Location and Hours
  • Medical Topics
  • Other Resources
Home » Patient Forms

Patient Forms

Accepting New Patients
Accepting New Patients
Accepting New Patients

 

To expedite our patient registration process and save you time at the office, please download and print all of the forms below, and fill them out before you come in for your initial visit.

 

Registration Form

Past Medical History Form

Electronic Communication Form

Consent to Release Confidential Information Form

Communication Form

Responsible Party Form

Payment Policy

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