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  • Instagram
  • Meet Our Team
  • Our Practice
    • Our Affiliations
    • Services We Offer
    • Your Medical Home
    • Behavioral Health
    • FAQ
  • New Patients
  • For Parents
    • Your Visit
    • Forms and Policies
    • Travel Consultations
  • Patient Education
    • Common Medications
    • Growth and Development
    • Patient Handouts
    • Vaccines
    • Recommended Reading
    • Helpful Web Resources
    • Nutrition
    • Safety
  • Teen Health
    • Academic Success
    • Acne
    • Allergies
    • Body Piercing
    • Common Illnesses
    • Common Medications
    • Dating and Relationships
    • Drugs and Alcohol
    • Eating Disorders
    • Energy Bars and Drinks
    • Exercise
    • Family Relationships
    • Health Websites
    • Jobs
    • Manage Your Health
    • Safe Driving
    • Sexual Assault
    • Sexual Health
    • Sleep
    • Sports
    • Stress
    • Successful Studying
    • Tattoos
    • Transition to Adult Primary Care
    • Vaccines
    • Web Wisdom
  • Contact Us
    • MyChart
    • Email Sign Up
    • Hours and Directions
    • In Case of Emergency
    • Making an Appointment
    • Medication Refills and Renewals
  • Boston Children's Primary Care Alliance

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  1. Longwood Pediatrics
  2. For Parents
  3. Forms and Policies

Longwood Pediatrics Forms and Policies

  • For Parents
    • Your Visit
    • Forms and Policies
    • Travel Consultations
Vaccine Policy

At Longwood Pediatrics, we feel that fully vaccinating your child is one of the most important things we do.

Read our full vaccine policy
Well Visit Handouts

Know what to expect at your child's upcoming well visit.

Patients and parents can access well visit handouts on our website.

View well visit handouts
Important Policies

Adolescent Confidentiality Policy

Code of Conduct

HIPAA Notice of Privacy

Patient Bill of Rights

 

Billing and Insurance

2021 Billing Update

Financial Policy

Insurances We Accept

 

Medical Records

Authorization to Receive Medical Records from Another Practice

Authorization for Disclosure of Protected Health Information

 

Health Assessment Tools

NICHQ Vanderbilt Assessment

For Parents

  • Initial Assessment
  • Follow-Up Assessment

For Teachers

  • Initial Assessment
  • Follow-Up Assessment

 

Asthma Control Test (ACT)

Asthma Control Test - Ages 4-11

Asthma Control Test - Ages 12 and up

 

Longwood Pediatrics, LLP

319 Longwood Avenue
4th Floor
Boston, MA 02115

Phone: 617-277-7320
Fax: 617-277-7834

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