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Newborn Application

Village Pediatrics shares the excitement and joy of expecting a child. Our doctors are more than happy to set up a Prenatal Consult with you in person or over the phone to briefly discuss the practice and address any questions you may have.

Currently, all doctors at Village Pediatrics are accepting newborns. To read about the physicians in our practice, click here.

If you are interested in making Village Pediatrics your child’s medical home, please complete this survey so we can ensure that we are a good match for you.
Please also see the “Are We a Good Fit” page to ensure that you are aware of our policies.  A member of our office will contact you after receipt of the survey to discuss appointment availabilities. 

 
Is This Your First Child:

Are you willing to adhere to the Academy of Pediatrics and CDC recommended vaccine schedule:

Have you read and do you agree with the “Are We a Good Fit” checklist?:

Are you comfortable paying this mandatory fee yearly?:

Enter security code:
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