Proud to be a part of
Privia Medical Group
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We are happy to provide our forms for convenient download on your home computer.
Please print and complete the forms below and bring them to your child's first appointment; this will help speed up the check-in process. To print the forms, click the link for each form. We will also require your insurance ID card so that we can scan it into our system. If you have any questions about any of the forms, please call our office and our courteous staff will assist you in preparing for your child's first visit.
7700 Morro Road
Atascadero, CA 93422
San Luis Obispo County
Phone: 805-466-6622
Fax: 805-461-0361
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7700 Morro Rd.
Atascadero, CA 93422
San Luis Obispo County
Phone: 805-466-6622
Fax: 805-461-0361
Proud to be a part of
Privia Medical Group
Patterson & Tedford Pediatrics is a proud member of Privia Medical Group. The best doctors in our community have joined together to form Privia Medical Group (PMG), a multi-specialty, high-performance medical group that puts patients first. Our physicians are united by the mission of providing better, more coordinated care for their patients.