Kristin Andrade, M.D., Inc.        pediatrics
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Please bring the following items to your first visit:
  • A copy of your child's immunization record.
  • Insurance information and card
  • Names and dosage of current medications
  • Print and complete the forms listed below:
Patient Registration
Please provide basic information about your family:  Names, address, birthdates, insurance information, etc.
Practice Policies
This form is to familiarize you with the "rules" we follow to keep the office running as smoothly as possible.  Two copies should be included- one copy for you, and one copy for the office file.
Authorized caregivers
Please complete this form if you would like for us to treat your child when brought in by caregivers other than the parents.  For example:  grandparents, nannies, etc.
Medical Records
If you are transferring care from another physician or medical group, we will need authorization to obtain medical records.
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Kristin Andrade, M.D., Inc. 20911 Earl Street, Suite 100, Torrance, California 90503 (310)214-2246, fax (310)370-1590       www.drandradeforkids.com