Francis Holistic Medical Center

N. Thomas LaCava, MD, Medical Director                                             Treating the Cause of Complex Chronic Illness

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Pediatric Primary Care - Instructions For First Visit

If Dr. LaCava is (or will be) your child's pediatrician, you are in the correct place.

Otherwise, please make another choice by clicking here.


FORMS


To download the forms required for your child's initial visit, you will be clicking on selected links below. Each link opens an Adobe pdf file.  You will need the free program Adobe Acrobat Reader or Adobe Acrobat in order to view them. Most computers have this already installed.  If you do not have this program, you may obtain it by clicking on this link to the Adobe website:  https://get.adobe.com/reader/

Forms for Dr. LaCava's Pediatric Patients:


Patient Registration
 
Authorization
 
Letter Regarding Laboratory Testing
 
Alternative Laboratory Testing Kits Waiver

Please print each item indicated, and complete and return them to our office as soon as possible. Do not use email to return these forms, it is not secure, and the quality is very poor.   

Should you need to reschedule or cancel your appointment for any reason, you must do so at least three business days prior to your appointment. 

We provide integrative, functional medicine in Central Massachusetts in the Worcester area. Many of our patients come from Boston and the Metrowest Boston area as well as all areas of Massachusetts and the other New England states.

(C) Copyright 2013 and 2016 Francis Holistic Medical Center, Last Modified: June 23, 2016 at 3:23 pm