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Waverly Pediatrics & Primary Care
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Patient forms

Select any of the links below to download important forms for your visit

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Right-click (PC) or option-click (Mac) to download the form(s).

    * = Highly recommended for new patients.

Our fax:   (704) 384-1181

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Call for an appointment704-384-1166
Phone lines open
8 a.m. - 5 p.m., Mon-Fri



Pediatrics:Monday to Thursday7:30 a.m. to 5 p.m.Friday8 a.m. to 5 p.m.
Primary Care:Monday to Friday8 a.m. to 5 p.m.
Lab:Opens at 7:30 a.m.
Phones:Open 8 a.m. to 5 p.m.