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253-564-1115
Patient Portal
  • Home
  • Meet our Doctors
  • Clinic Information
  • New Patients
  • Health Resources
  • Forms
  • Policies
 
  • Home
  • Meet our Doctors
  • Clinic Information
  • New Patients
  • Health Resources
  • Forms
  • Policies

Forms

Forms

  • Medical Records Request
    (Use this form to request medical records be sent from one doctor to another.)
  • New Patient Information
    (We need this form filled out for all new patients.)
  • Vaccination Policy Form
    (All new patients please read and sign)
  • Advance Consent To Treat Minors
    (This form gives us the right to treat your child in case of emergency. Please refer to Legal above.)
  • Privacy Statement
    (This document describes our clinic's privacy practices, please read, but not required to print out.)
University Place Pediatric Clinic
253 564-1115
1033 Regents Blvd. Suite 102, Fircrest, WA 98466
  • Welcome
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  • Clinic Information
  • New Patients
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  • Forms
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Website © 2023 University Place Pediatric Clinic . Website designed by Wilford Design - Tacoma
We are now open to new patients !!

To our patients and families:

We are very happy to announce that we are now open to seeing new patients!!

Thank you for your patience over the last few months as we focused on the needs of our existing patients.  We are very appreciative.

 

The Physicians of University Place Pediatric Clinic