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40 Sunshine Cottage Road, Valhalla, NY 10595 844-463-2247
BCH Physicians
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Patient Forms

New Patients

Welcome Letter

Registration Form

Medical Release Form

Demographic Information

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HIPAA Form

Tuberculosis Assessment

New Insurance

New Insurance Registration

Well Child Forms

4-6 Years:

Medical Sports Annual Questionnaire

Lead Screening

Tuberculosis Assessment

7-11 Years

Pediatric System Checklist

Medical Sports Annual Questionnaire

Tuberculosis Assessment

12-14 Years

Patient Health Questionnaire

Medical Sports Annual Questionnaire

Young Adolescent Questionnaire **Note: Your child should fill this out.

Tuberculosis Screening

15-23 Years

Guide to Your Adolescent Visit

Patient Health Questionnaire

Medical Sports Annual Questionnaire

Adolescent Pre-visit Questionnaire **Note: your child should fill this out.

Tuberculosis Screening

CRAFFT

  • Orangetown Pediatric Associates
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Orangetown Patient Portal

Orangetown Pediatric Associates offers our patients easy and private access to their medical information online. To help provide your family with the best care possible, NextGen helps you communicate securely with your doctor over the Internet.

Visit the portal

Need a Specialist?

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844-4-MD-BCHP
(844-463-2247)

For general pediatrics, please choose your local office above for contact information.

Boston Children’s Health Physicians
40 Sunshine Cottage Road,
Skyline Suite 1N-C26 Valhalla, NY 10595
914-594-2100

Boston Children's Hospital
300 Longwood Avenue,
Boston, MA 02115
617-355-6000 | 800-355-7944
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  • Patient Portal
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  • Find a Doctor
  • About Us
    • About BCHP
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    • Contact Us
    • Our Practice Locations
    • Partners we work with
    • Policies and Forms
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    • Adolescent Medicine
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  • News
  • For Employees
    • BCHP Email Access
    • BCHP Online Training
    • Change Request
    • Employee Documents
    • Nextgen EHR and PM
    • IT Technician Photos
    • System Status