Four Seasons Pediatrics

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To save time at your visit, we strongly encourage all patients to print and bring their filled out forms to the appointment.

You may fax the form to us at 518-383-3255 if that works best.

Please note that all forms that require a signature must be hand signed, we will not accept a typed or digital signature.

Flu Vaccine Screening FormClick Here-Please complete prior to arrival

Registration Forms (this includes most of the items below, so you can print the entire set at one time)

Well Visit Forms click link below:

ADHD Forms click below:

Consent and Record Release forms:

Updated information:

Other Forms:

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