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Pediatric Associates of Madison
21 Hughes Road Suite 2Madison, AL 35758256-772-2037
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New Pediatric Patients

Pediatric Associates of Madison welcomes new patients to our practice. Choosing the right pediatrician for your child is one of the most important decisions you will make. For new patient application, please print and submit ALL of the forms listed below to our office.

Click Here to Print All New Patient Registration Documents

Print Individual Documents Below:

  • Patient Registration
  • New Baby Information
  • Office Policies
  • Vaccine Policy
  • Medical History
  • Records Release or Request
  • Limited Patient Authorization for Disclosure of Protected Health Information

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

What To Expect On Your First Visit

On the day of your child’s first visit to our office, we recommend arriving 15 minutes early. This allows extra time for finishing up any registration paperwork and ensures you have plenty of time to get acquainted with our staff and office. We look forward to meeting you and joining with you to help your child maintain optimal health.

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  • Patient Forms
  • New Patients
  • Immunizations

Patient Education

 
Patient Education
  • Child Health Topics
  • Center for Disease Control and Prevention
  • Immunizations
  • Car Seat Recommendations
  • Product Recalls
  • Traveling with Children

Our Location

21 Hughes Road
Suite 2
Madison, AL 35758
256-772-2037

Map & directions

Office Hours
Monday: 8:00 AM - 4:30 PM
Tuesday: 8:00 AM - 4:30 PM
Wednesday: 8:00 AM - 4:30 PM
Thursday: 8:00 AM - 4:30 PM
Friday: 8:00 AM - 4:30 PM
Saturday: Closed
Sunday: Closed

Pediatric Associates of Madison, 21 Hughes Road, Suite 2, Madison, AL 35758
256-772-2037 (office) | 256-772-9523 (fax)

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