Edgewood Center Pediatrics
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Downloadable Forms

New Patient Forms

HIPAA Form
Patient Info Sheet
Patient History
Patient Demographics
Financial Agreement
Medical Consent Form
Record of Immunizations
Schedule of Visits

Patient Update Forms

Financial Agreement
Demographics
Medical Consent

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Downloadable Schedule of Well Visits

Schedule of Immunizations

Downloadable Physical Forms

Generic Health appraisal
High School sports form

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Well visit handouts

Newborn visit
1 Month Visit
2 Month Visit
4 Month Visit
6 Month Visit
9 Month Visit
1 Year Visit
15 Month Visit
18 Month Visit
2 Year Visit

Vaccine information sheets

CDC Vaccine Information Sheets

Vaccine Safety!
Why so many vaccines?

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Common Illnesses

Influenza
Head Injury
Swimmers Ear
Rotavirus
Croup
Vomiting and Diarrhea
Upper Respiratory Illness
Strep Throat
Otis Media
Neutropenia
Conjunctivitis

Influenza Vaccine Forms

Seasonal Influenza Vaccine for children 6 months of age and older.

Edgewood Center Pediatrics
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  • Established Patients
  • After Hours Information
  • Downloadable Forms
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  • Our Providers
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  • Disease Management
  • Contact Us

Contact Details

  • 8896 Commerce Road, Suite 5
    Commerce, MI 48382
  • 248-360-9241
  • 248-360-0830
  • Find us on map

Hours

Monday – Thursday
9am – 7:30pm
Friday
9am – 5pm
Saturday
9am – 12pm

In an event of an emergency or life threatening matter, please call 911!

Dosage Amounts

  • Benadryl Dosing Sheet
  • Tylenol/Motrin Dosing Sheet
  • Home
  • New Patients
  • Established Patients
  • After Hours Information
  • Downloadable Forms
  • Our Office
  • Our Providers
  • Billing
  • Patient Education
  • Disease Management
  • Contact Us
The content of this website is designed for informational purposes only! Under no circumstances should the information provided replace information provided by your physician. We strive to provide quality care to your children therefore cannot provide a diagnosis or answer medical questions through or website or e-mail.
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