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Bridgewater Pediatrics Forms & Resources

  • Forms & Resources
    • Patient Resources
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Downloadable PDFs

For your convenience, we have compiled some of our commonly requested patient forms. In order to view or print these forms, you will need Adobe Acrobat Reader.

  • HIPAA Consent Form
  • Authorization for Release of Medical Information
    • Second Release Form (If you are a patient who saw us before June 1, 2009, you must fill out both this form and the form above)

Bridgewater Pediatrics

1029 Pleasant Street
Bridgewater, MA 02324

Phone: 508-697-8116
Fax: 508-697-8117
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