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FORMS

Please complete the appropriate forms and bring them with you or fax them to our office at 310-657-0986

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        Please complete this registration information and bring it with you to the first appointment.

  

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         Change of information? Let us know by completing these forms.

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         Please send these forms to your previous provider to have medical records transferred to Roxbury Pediatrics.

  

         We are sad to see you leave. If you'd like to request a transfer of medical records to another office, please sign and return these forms            to have medical records transferred to another provider.

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HELPFUL LINKS

Telemedicine Links: By appointment only. To schedule a telemedicine appointment with your doctor, please call our office during business hours. 

Dr. Efron link: https://doxy.me/drguyefron 

Dr. Klausner link: https://doxy.me/drKlausner

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