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Brandywine Pediatrics
What’s New:
Office Closure: Sunday, November 3
The office will be closed on Sunday, November 3, 2024, due to water main work. We will be open Saturday for morning hours, as usual,…
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Dr. Jara to join Brandywine Pediatrics in 2025
We are excited to announce that Dr. Jorge Jara Kudin is joining Brandywine Pediatrics in early 2025. Dr. Jara will assume Dr. Simonetti's and Dr.…
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Flu, Covid & RSV Shots available now
Call your doctor/triage for appointments. These vaccines can also be given during routine wellness visits.
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Home
New Baby!
About Us
Services
Announcements
Office Policies & Forms
Helpful Links & Forms
Office Forms
22
Jan 2023
Release of Medical Records
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slirwin
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Office Forms
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23
Sep 2021
Transfer of Records Form
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slirwin
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Announcements
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Office Forms
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5
Jun 2021
Mood Disorder Questionnaire [MDQ]
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slirwin
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Office Forms
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5
Jun 2021
Anxiety Screen [GAD-7]
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slirwin
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Office Forms
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5
Jun 2021
Depression Screen [PHQ-9 for Adolescents]
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slirwin
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Office Forms
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5
Jun 2021
MCHAT
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slirwin
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Office Forms
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14
Apr 2021
COVID-19 Pre-Vaccination Questionnaire
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slirwin
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posted in:
Forms
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Office Forms
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15
Jul 2020
Telemedicine Consent Form
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Hi5s Development Team
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posted in:
Office Forms
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![Mood Disorder Questionnaire [MDQ]](https://brandywinepediatrics.com/wp-content/uploads/2021/06/20210521_110714804_006-scaled.jpg)
![Anxiety Screen [GAD-7]](https://brandywinepediatrics.com/wp-content/uploads/2021/06/20210521_110714804_007-scaled.jpg)
![Depression Screen [PHQ-9 for Adolescents]](https://brandywinepediatrics.com/wp-content/uploads/2021/06/20210521_110714804_008-scaled.jpg)
