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  1. Wayland Pediatrics
  2. Forms & Policies

Wayland Pediatrics Forms & Policies

  • Forms & Policies
    • COVID-19 Policies & Procedures

Forms

  • Welcome Letter
  • Demographic Information
  • Vaccine Policy
  • Authorization for the Release of Medical Records
  • Consent to Treatment

Policies

  • HIPAA Authorization
  • Appointment Policy
  • Financial Policy
  • Separated & Divorced Families
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Wayland Pediatrics

13 Pelham Island Road
Wayland, MA 01778

Phone: 508-358-2918
Fax: 508-358-6054
Email: WeCare@Waylandpediatrics.com

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