Pediatrics | Clyde | Canton

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Patient Forms

Please print the following New Patient Registration Form to be completed and either mailed or faxed back to our office, or bring it with you to your child’s first visit. Thank you.

Please note: These documents are in AdobeĀ® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

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Patient Portal

Our Patient Portal is a valuable tool that allows patients to stay connected with our practice in a convenient, secure online setting. Within the portal, you can:

  • View your records
  • Pay your bill
  • Download patient forms
  • Email your doctor

Click here to go to the Patient Portal.

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