Forms and Resources
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Developmental Survey (M-CHAT)
(63K)Survey for children 18 to 24 months -

Easy Pay Signup Form
(34K) -

Financial Policy
(54K) -

Immunization Policy
(31K) -

Medical Records Release
(11K)Release records to another physician, parent or self. -

Medical Records Request
(11K)Request records from another doctor or facility for Berkeley Pediatrics -

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Patient Information Form
(65K) -

Welcome Letter
(70K)

