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Northcourt Pediatrics

Northcourt Pediatrics

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    • Childhood Immunization Schedules
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    • 12 and Up Covid Vaccine Info
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  • Home
  • About Our Office
  • Forms
  • Vaccines
    • Childhood Immunization Schedules
    • Vaccine Information Sheet
    • Parent Permission
    • NYS School Patient Requirements
    • NYS Covid Vaccine Registration
    • 5 – 11 Covid Vaccine Info
    • 12 and Up Covid Vaccine Info
  • Contact
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COVID19

Forms

Authorization Forms

  • Newborn Registration Packet

  • New-Patient Registration Packet

  • Transfer in Authorization

  • Transfer Out Authorization

  • General Authorization

  • School Authorization

  • Current Contact and Authorized Individual

  • Vaccine Authorization- Legal Guardian

Northcourt Pediatrics
Northcourt Pediatrics
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Behavioral forms

  • Scared Form – Parent

  • Scared Form – Child

  • Vanderbilt Parent Initial Assessment

  • Vanderbilt Teacher Initial Assessment

  • Vanderbilt Parent Follow Up Assessment

  • Vanderbilt Teacher Follow Up Assessment

  • Recommended Counseling Services

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Northcourt Pediatrics

Northcourt Pediatrics

  • Northcourt Pediatrics
    7278 Buckley Rd., # 2
    North Syracuse, NY 13212

  • Office: (315) 452-1712

  • Fax: (315) 452-0394

  • northcourt@centralny.twcbc.com

  • Mon - Fri: 9:00 AM - 4:00PM
    24-hour on-call care is provided by covering pediatricians for emergencies and sick visits.
    Phones off 12pm – 1pm for lunch

Contact Us
  • Home
  • About Our Office
  • Forms
  • Childhood Immunization Schedules
  • Vaccine Information Sheet
  • Parent Permission
  • Contact

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