Pediatric Care of Greater Cleveland
At Premier Physician

216-382-4974

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    • Home
    • About
    • New Patient
    • Contact US
    • Patient Portal
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216-382-4974

Pediatric Care of Greater Cleveland
At Premier Physician
  • Home
  • About
  • New Patient
  • Contact US
  • Patient Portal
  • BOOK ONLINE

New Patient Forms

New Patient Intake (pdf)Download
Authorization For Treatment for a Minor (pdf)Download
Authorization for Medical Record Release (pdf)Download
Office Policies (pdf)Download
HIPAA-Notice of Privacy Practices (pdf)Download
Notice of Privacy Practices (pdf)Download

Pediatric Care of Greater Cleveland

7575 Northcliff Avenue Suite 304, Brooklyn, Ohio 44144, United States

216-382-4974

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