Forms & Links

Forms

New Patient Demographic and Insurance Form *Please print at home and bring to your first appointment

Over-The-Counter Medication Dosing Guide - Print this page and keep it in your medicine cabinet.
First-Aid and CPR - Print this page and keep it in your medicine cabinet.
Babysitter Reminder Sheet
www.HealthyChildren.org - American Academy of Pediatrics official website for parents
www.KidsHealth.org - Nemours Foundation / DuPont Hospital for Children website for parents
www.MayoClinic.org - Detailed descriptions and guides about many diseases
www.healthcare.gov
www.healthyminds.org - American Psychiatric Association website for patients

National Breastfeeding Helpline 1(800) 994-9662 or www.womenshealth.gov/breastfeeding
LaLeche League 1(877) 4-LALECHE or www.LLLusa.org
International Lactation Consultant Association (find a local lactation consultant): www.ILCA.org
Medela is a popular breast-pump company: www.medelabreastfeedingus.com

Early Intervention Suffolk County: (631) 853-3100
Early Intervention Nassau County: (516) 227-8661
Poison Control: 1(800) 222-1222
Suffolk County Police (Non-emergency line): (631) 852-COPS
Child Protective Services (CPS): 1(800) 342-3720
NY State Domestic Violence Hotline: 1(800) 942-6906
24/7 Mental Health Hotline: (631) 544-2222
Post-Partum Depression Hotline New York: 1(855) 631-0001, 1(631) 422-2255 or www.postpartum.net
Free Health Insurance (Medicaid, CHIP): 1(877) KIDS-NOW or www.InsureKidsNow.gov

www.CHADD.org - Support groups and other support services for parents of children with ADHD.
www.AAPD.org/parents - American Academy of Pediatric Dentistry – basic teeth tips and how to find a dentist
www.GetEyeSmart.org - American Academy of Ophthalmologists – basic eye tips and how to find an eye doctor
AAP Guide to Car Seats
www.cpsc.gov - Consumer Product Safety Commission - Go here to look up Re-Calls
www.SuffolkCountyNY.gov - Suffolk County Website – Find Parks, Libraries and other fun stuff.
www.ChildCareSuffolk.org / (631) 462-0303 – Child Care Council of Suffolk – a local child care resource.
www.ChildCareAware.org / 1(800) 424-2246 – A national childcare resource.
www.YMCALI.org - The YMCA has childcare, swimming lessons, children’s programs and a gym for parents!
www.LongIslandGameFarm.com - Wild animals, petting zoo and more! (Located in Manorville, NY)
www.lifun4kids.com - Lots of ideas for activities and places to go.