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Office Hours

Mon-Fri: 8-5pm

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Pediatric Forms

Forms

Downloads

We encourage all patients to print and complete the forms prior to their visit. Please arrive 15 minutes before your appointment; this time will be used to complete any additional forms that are not posted on our website. You may also take this time to ask any further questions in regards to your appointment.

New Patient Form

Bright Future Previsit Questionnaire

Click the right age for your child

5 Day Visit
1 Month Visit

Edinburgh Postnatal Depression Scale

Survey of Well-being of Young Children

Click the right age for your child

2 Months
4 Months
6 Months
9 Months
12 Months
15 Months
18Months
24 Months
30 Months
36 Months
48 Months
60 Months

Survey of Well-being of Young Children - Español

Click the right age for your child

2 Months
4 Months
6 Months
9 Months
12 Months
15 Months
18 Months
24 Months
30 Months
36 Months
48 Months
60 Months

Doctors

JANE RUDOLPH, MD, FAAP

ASHOKKUMAR SHAH, MD

ALLYSON ROVETTO, MD

AISHIA ANGELA DAVIS, MD

ADRIANE GUERIN, PA-C

HEATHER EISENBERGER, PA-C

Location

179 Roseland Ave
Waterbury, CT 06710

Keep Your Children Healthy

It is important to bring them in for regular checkups.

Schedule a Checkup

School Physicals

Scheduling your child’s physical is the best way to take a proactive approach to their health.

30 Years in Practice

We focus on preventative healthcare and educating our patients and their families on how to optimize their health.

Contact

p. 203-574-4747

f. 203-755-3109

e. [email protected]

Office Hours

Monday- Friday : 8am - 5pm

Appointments: 9am - 4:30pm