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      • Michael H. Clark, MD
      • Rebecca E. Clark, MS, LMFT
      • Shane B. Lovley, MS, PA-C
      • Haley E. Doak, MS, PA-C
      • Steve E. Feder, DO
      • Sarah J. Scott, MD
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Pediatric Annual Visit Forms

Ages:

2mo
4mo
6mo
8mo
9mo
10mo
12mo
14mo
16mo
18mo

and

M-Chat 18mo
20mo
22mo
24mo

and

M-Chat 24mo
27mo
30mo
33mo
36mo
42mo
48mo
54mo
60mo
Review 4
REview 3
Excellent
Langworthy
REview 5
REview 6
THank you

HOURS

8:00 am - 4:30 pm

80 RIVER ROAD
NEWCASTLE, MAINE 04553

TEL (207) 563-3366

FAX (207) 563-3393

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